Active NPI
Norman Cruz, NP
- Nurse Practitioner
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 520603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F334419 | Other | NY | FNP LICENSE |
| 02940114 | Medicaid | NY | |
| 520603-1 | Other | NY | RN LICENSE |
| 2004004483-22 | Other | NY | ANCC 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 520603 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Current | Accepting new patients | |
| Port Emergency Medical Services, P.C. | Current | Accepting new patients | |
| Long Island Pulmonary Rehabilitation PC | Current | Accepting new patients | |
| Olaf Butchma DO PC | Current | Accepting new patients | |
| Mid Island Medical Associates, PLLC | Past | 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 | Past | 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
- 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.
-
- Pulmonary Disease Physician
- Huntington, NY
- NPI 1699284281
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1164054524
-
- Emergency Medicine Physician
- Port Jefferson, NY
- NPI 1912988395
-
- Emergency Medicine Physician
- East Patchogue, NY
- NPI 1669783924
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1477704005
-
- Internal Medicine Physician
- Center Moriches, NY
- NPI 1023905247
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
-
- Emergency Medicine Physician
- Smithtown, NY
- NPI 1356507099
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.