Alfredo Bamba Cruz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

142744 Issued in NY

Practice address

45 2ND St
Troy, NY 12180-3928

Phone

(518) 272-7191

Fax

(518) 272-7234

NPI assigned

Oct 14, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1104916535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 2ND ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803928",
            "telephone_number": "518-272-7191",
            "fax_number": "518-272-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 2ND ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803928",
            "telephone_number": "518-272-7191",
            "fax_number": "518-272-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ALFREDO",
        "middle_name": "BAMBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "142744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08287",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000414",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "79E301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol P. Crucetti, RN
• Christina Crucetti
• Anthony J Crudo Jr.
• Selma Kerri Crump, FNP-BC
• Alan Lardizabal Cruz, MD
• Faith Cruz, M.D.
• Melisa Cruz, LPN
• Cody Csontos, DPT
• Heather Culley
• Rebecca Leigh Cummings

• Family Medicine Physician in Troy, NY
• Providers in Troy, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.