Individual provider Active NPI

Julio Cruz Jr., PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1053777664
Registry record updated Aug 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019339 Issued in NY
Practice address
1065 Southern Blvd
Bronx, NY 10459-2417
Phone
(718) 589-2440
Fax
(718) 991-4516
NPI assigned
Jan 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019339 NY Primary

Addresses

Primary practice location

1065 Southern Blvd
Bronx, NY 10459-2417

Mailing address

1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007000013 NY Practitioner - Physician Assistant 2163710195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1047 Southern Blvd
Bronx, NY 10459-3427
Phone (646) 346-7920

1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270

193 W 237TH St
Bronx, NY 10463-4141
Phone (718) 303-0479

2 W Fordham Rd
Bronx, NY 10468-5359
Phone (646) 647-1255

2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555

2248 31St St
Astoria, NY 11105-2714
Phone (718) 571-9192

2902 3Rd Ave
Bronx, NY 10455-2601
Phone (718) 571-9276

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3494 Jerome Ave
Bronx, NY 10467-1002
Phone (718) 571-9282

3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248

388 E Fordham Rd
Bronx, NY 10458-5044
Phone (718) 489-3553

48 E 170TH St
Bronx, NY 10452-7013
Phone (718) 571-9313

571 E 138TH St
Bronx, NY 10454-2702
Phone (718) 571-9421

68 E 161St St
Bronx, NY 10451-2207
Phone (718) 571-9139

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019339NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Dec 7, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 7, 2021 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • Direct secure messaging: julio.cruz.1@2983.direct.athenahealth.com

Organizations & group practices 3

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1053777664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440",
            "fax_number": "718-991-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SOUTHERN BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104592417",
            "telephone_number": "718-589-2440",
            "fax_number": "718-991-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JULIO",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.