Jose Elias De la Cruz Fernandez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F01181122 Issued in NY

Practice address

2270 University Ave
Suite 1a
Bronx, NY 10468-6265

Phone

(646) 393-9079

Fax

(646) 393-9081

NPI assigned

Jan 29, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAEGAA/Endpoint/CAEGAA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1023516622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 UNIVERSITY AVE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686265",
            "telephone_number": "646-393-9079",
            "fax_number": "646-393-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ELIAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F01181122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeleen De Jesus, NP
• Scarlet De Jesus
• Stacy De Jesus
• Wilfredo Ausan De Jesus, R.P.T.
• Amelia De la Concha
• Andrelisa De la Cruz, COTA
• Annette De la Cruz
• Castidia De la Cruz, LMSW
• Crystal De la Cruz, SAC
• Elisandro De la Cruz, LMSW

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.