Reynaldo De la Cruz Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC007598 Issued in MD

Practice address

7420 Marlboro Pike
Forestville, MD 20747-4343

Phone

(301) 736-0240

Fax

(240) 628-7472

NPI assigned

Feb 3, 2025

Last updated

May 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNF Physiatry Services MD LLCGroup PAC ID 1052837655, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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

• SNF Physiatry Services MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1508668542

  DC

  Medicare reassignment Care Compare group
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  DC

  Medicare reassignment NPD
• Falls Church Pediatrics

  dba Kids Watch Pediatrics & Urgent Care

  • Primary Care Clinic/Center
  • Falls Church, VA
  • NPI 1588481576

  DC

  Medicare reassignment NPD
• Redefined Health and Wellness LLC

  • Primary Care Nurse Practitioner
  • Temple Hills, MD
  • NPI 1023948411
  NPD Authorized official
• Redefined Health and Wellness LLC

  • Family Nurse Practitioner
  • Temple Hills, MD
  • NPI 1700700093
  NPD (past) Authorized official
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  NPD
• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774
  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1104630003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 HARVEST RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207483612",
            "telephone_number": "202-945-2893",
            "fax_number": "240-628-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 MARLBORO PIKE",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474343",
            "telephone_number": "301-736-0240",
            "fax_number": "240-628-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "REYNALDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007598",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1194340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clean and Sober (Alcohol and Drug Recovery)
• Robert Preston Cohen, D.M.D.
• Lucretia Cunningham
• Claudia Darden
• Michael Datiles, DPT
• Rabia Dhanani, LGPC
• Dimensions Wellness II LLC
• DNR Carenet LLC
• Brittany Dorsey-Rawlings
• Dresher Dialysis LLC (Forestville Dialysis)

• Family Nurse Practitioner in Forestville, MD
• Providers in Forestville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.