Essentia Health and Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08833900 Issued in NJ

Legal business name

ESSENTIA HEALTH AND WELLNESS CENTER

Practice address

587 Westminster Ave Ofc
Elizabeth, NJ 07208-2206

Phone

(973) 483-6800

Fax

(201) 645-3787

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Flavia Annette De la Cruz, M.D.

Title

Ceo

Phone

(973) 483-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EssentiaMD Other name

Electronic endpoints 1

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1184025595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 VERBICKAS DR",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243720",
            "telephone_number": "973-483-6800",
            "fax_number": "973-776-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 WESTMINSTER AVE OFC",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082206",
            "telephone_number": "973-483-6800",
            "fax_number": "201-645-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Jay St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071033235",
            "country_code": "US",
            "telephone_number": "973-483-6800 x174",
            "fax_number": "201-645-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Verbickas Dr",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074243720",
            "country_code": "US",
            "telephone_number": "973-483-6800 x174",
            "fax_number": "201-645-3787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIA HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "FLAVIA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-483-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08833900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309826",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdelacruzmd@sinaipostacutecare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "65 Jay St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071033235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EssentiaMD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EssentiaMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Elizabeth, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.