Individual provider Active NPI

Norman Cruz, NP

  • Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1124071824
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
520603 Issued in NY
Practice address
Stony Brook Umc
HSC 18-040
Stony Brook, NY 11794-8191
Phone
(631) 444-7989
Fax
(631) 444-6176
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 520603 NY Primary

Addresses

Primary practice location

Stony Brook Umc
HSC 18-040
Stony Brook, NY 11794-8191

Mailing address

Stony Brook Umc
HSC 18-040
Stony Brook, NY 11794-8191
Phone (631) 444-7989

Other identifiers 4

IdentifierTypeStateIssuer
F334419OtherNYFNP LICENSE
02940114MedicaidNY
520603-1OtherNYRN LICENSE
2004004483-22OtherNYANCC BOARD CERTIFICATION NUMBER

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
I20061202000001 NY Practitioner - Nurse Practitioner 3870591761 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Pulmonary Rehabilitation PCGroup PAC ID 0941569529, 3 clinicians

Practice addresses (Care Compare)

100 Southern Blvd
Nesconset, NY 11767-1749
Phone (631) 361-8800

255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
520603NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Surgical Associates, University Faculty Practice Corporati CurrentSince Sep 1, 2010 Accepting new patients
Port Emergency Medical Services, P.C. CurrentSince May 13, 2015 Accepting new patients
Long Island Pulmonary Rehabilitation PC CurrentSince Aug 15, 2022 Accepting new patients
Olaf Butchma DO PC CurrentSince Dec 1, 2020 Accepting new patients
Mid Island Medical Associates, PLLC PastSince Jun 23, 2025 Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Past Accepting new patients
Siena Emergency Medical Services, P.C. Past Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients
PM Pediatrics PC Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients

Locations

37 Research Way
Ste 209
East Setauket, NY 11733

4 Smith Haven Mall
Ste 200
Lake Grove, NY 11755
Phone (631) 444-4121

100 Southern Blvd
Nesconset, NY 11767
Phone (631) 361-8100

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

273 Moriches Rd
Saint James, NY 11780
Phone (631) 265-4567

37 Research Way
Setauket, NY 11733
Phone (631) 444-4121

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

78 Old Country Rd
Westhampton, NY 11977
Phone (631) 288-0101

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: norman.cruz@direct.stonybrookmedicine.edu

Organizations & group practices 10

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1124071824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UMC",
            "address_2": "HSC 18-040",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948191",
            "telephone_number": "631-444-7989",
            "fax_number": "631-444-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UMC",
            "address_2": "HSC 18-040",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948191",
            "telephone_number": "631-444-7989",
            "fax_number": "631-444-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "NORMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "520603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "F334419",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02940114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "520603-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC BOARD CERTIFICATION NUMBER",
            "identifier": "2004004483-22",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.