Active NPI
Luis Felipe Cruz, MD
- Physical Medicine & Rehabilitation Physician
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 197141
- Practice address
- 1600 Central Ave FL 5
Far Rockaway, NY 11691-4018 - Phone
- (718) 337-3390
- Fax
- (718) 337-3339
- NPI assigned
- May 16, 2006
- Last updated
- Jan 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 197141 | NY | Primary |
| General Practice Physician | 208D00000X | 197141 | NY |
Addresses
Primary practice location
1600 Central Ave FL 5
Far Rockaway, NY 11691-4018
Mailing address
16 Cornwell St
Rockville Ctr, NY 11570-1903
Phone (516) 431-4051
Other practice location 1
3814 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 615-2944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01626851 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Icahn School of Medicine at Mount Sinai, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 Central Ave
FL 5
Far Rockaway, NY 11691-4018
Phone (718) 337-3390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197141 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis F. Cruz MD PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Cruz Physical Therapy, PC | Current | Accepting new patients |
Locations
3814 Nostrand Ave
Brooklyn, NY 11235
Phone (347) 462-4131
1600 Central Ave
Fl 5
Far Rockaway, NY 11691
Phone (718) 337-3390
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Far Rockaway, NY
- NPI 1205979275
-
- Physical Therapy Clinic/Center
- Far Rockaway, NY
- NPI 1770927063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1114979556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CORNWELL ST",
"city": "ROCKVILLE CTR",
"state": "NY",
"postal_code": "115701903",
"telephone_number": "516-431-4051",
"fax_number": "718-615-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CENTRAL AVE FL 5",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914018",
"telephone_number": "718-337-3390",
"fax_number": "718-337-3339"
}
],
"practiceLocations": [
{
"address_1": "3814 Nostrand Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112352013",
"country_code": "US",
"telephone_number": "718-615-2944",
"fax_number": "718-615-2943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "LUIS",
"middle_name": "FELIPE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2024-01-09",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "197141",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "197141",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01626851",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.