Organization Active NPI

Luis F. Cruz MD PC

  • Physical Medicine & Rehabilitation Physician
  • Far Rockaway, NY
National Provider Identifier
1205979275
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LUIS F. CRUZ MD PC
Practice address
1600 Central Ave FL 5
Far Rockaway, NY 11691-4018
Phone
(917) 826-9930
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Luis F Cruz, MDNPI 1114979556
Title
President
Phone
(718) 337-3390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1600 Central Ave FL 5
Far Rockaway, NY 11691-4018

Mailing address

16 Cornwell St
Rockville Centre, NY 11570-1903
Phone (917) 826-9930

Other practice location 1

3814 Nostrand Ave
Brooklyn, NY 11235-2013
Phone (718) 615-2944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000401 NY Part B Supplier - Clinic/Group Practice 0446358022 Receives reassigned benefits from 1 practitioner
Practice locations: Far Rockaway, NY; Rockville Ctr, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1205979275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CORNWELL ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701903",
            "telephone_number": "917-826-9930",
            "fax_number": "718-337-3339"
        },
        {
            "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": "917-826-9930"
        }
    ],
    "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": {
        "organization_name": "LUIS F. CRUZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-337-3390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.