Active NPI
Silfa N Cruz, OPTICIAN11031947
- Optician
- Perth Amboy, NJ
National Provider Identifier
1194932780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00169700
- Practice address
- 121 Market St
Perth Amboy, NJ 08861-4315 - Phone
- (732) 442-8566
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00169700 | NJ | Primary |
Addresses
Primary practice location
121 Market St
Perth Amboy, NJ 08861-4315
Mailing address
121 Market St
Perth Amboy, NJ 08861-4315
Phone (732) 442-8566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3286606 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00169700 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194932780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MARKET ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614315",
"telephone_number": "732-442-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MARKET ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614315",
"telephone_number": "732-442-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SILFA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "OPTICIAN11031947",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00169700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3286606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.