Individual provider Active NPI

Madeline Cruz, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Garnerville, NY
National Provider Identifier
1043390131
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
005347 Issued in NY
Practice address
3 Hewitt St
Garnerville, NY 10923-1409
Phone
(845) 786-3830
Fax
(845) 786-3830
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 005347 NY Primary

Addresses

Primary practice location

3 Hewitt St
Garnerville, NY 10923-1409

Mailing address

3 Hewitt St
Garnerville, NY 10923-1409
Phone (845) 786-3830

Other identifiers 2

IdentifierTypeStateIssuer
2017970OtherNYUNITED HEALTHCARE
01742525MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000132 NY Practitioner - Podiatry 2062500242 Reassigns benefits to 4 organizations
Practice locations: Haverstraw, NY; Brooklyn, NY; West Haverstraw, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

2 Park Ave
Yonkers, NY 10703-3402
Phone (914) 964-7862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue18
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Healthcare Management Inc CurrentSince Mar 1, 2021 Accepting new patients
Uptown Healthcare Management Inc. CurrentSince Mar 1, 2021 Accepting new patients
Uptown Healthcare Management, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Central Orange Physician Services CurrentSince Sep 20, 2020 Accepting new patients
Sun River Health Inc Current Accepting new patients
All Bronx Foot Care, P.C. Past Accepting new patients
Emilio Perez Medical PC PastSince Jul 1, 2016 Accepting new patients
Cardiology for Life PC PastSince May 10, 2019 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. PastSince Feb 18, 2019 Accepting new patients
Thompson Chiropractic, Professional Corporation Past Accepting new patients

Locations

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

930 E Tremont Ave
Fl 3
Bronx, NY 10460
Phone (718) 620-6068

1778 Jerome Ave
Bronx, NY 10453
Phone (718) 583-3300

930 E Tremont Ave
Bronx, NY 10460
Phone (718) 764-1660

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

2 Perlman Dr
Spring Valley, NY 10977
Phone (845) 371-2032

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1043390131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEWITT ST",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231409",
            "telephone_number": "845-786-3830",
            "fax_number": "845-786-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HEWITT ST",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231409",
            "telephone_number": "845-786-3830",
            "fax_number": "845-786-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "005347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2017970",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnerville, NY

Sources for this page

Verify at the official NPI Registry.