Individual provider Active NPI

Luis Felipe Cruz, MD

  • Physical Medicine & Rehabilitation Physician
  • Far Rockaway, NY
National Provider Identifier
1114979556
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
197141 Issued in NY
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01626851MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001097 NY Practitioner - Physical Medicine and Rehabilitation 1254374374 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
197141NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis F. Cruz MD PC Physical Medicine & Rehabilitation CurrentSince Mar 8, 2005 Accepting new patients
Cruz Physical Therapy, PC CurrentSince Jul 10, 2014 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.

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

Verify at the official NPI Registry.