Massiel Delacruz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00201300 Issued in NJ

Practice address

359 Centre St
Suite1
Nutley, NJ 07110-2791

Phone

(973) 667-1500

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: massiel.de.la.cruz.1@1946.direct.athenahealth.com

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.

• Michael J Straker LLC

  • Obstetrics & Gynecology Physician
  • Nutley, NJ
  • NPI 1821210097
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354924800000",
    "number": "1043460066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RUTGERS ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CENTRE ST",
            "address_2": "SUITE1",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102791",
            "telephone_number": "973-667-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "MASSIEL",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2012-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00201300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MP00201300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela M Decandia-Presuto, LCSW
• Ernest Defazio, MD
• Tanasia Dejesus
• Josephine Mercedes Del Villar
• Angelica Delacruz, APN
• Paul Vincent Dell'Aquila, MD
• Tatiana D. Dell'Aquila, P.A.
• Laura Rose Deluca, PT, DPT
• Angelo Delvecchio, D.C.
• Roxana Fulga Dem Peart, D.M.D

• Physician Assistant in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2012; 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.