Active NPI
Luis F. Cruz MD PC
- Physical Medicine & Rehabilitation Physician
- Far Rockaway, NY
National Provider Identifier
1205979275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis F Cruz, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Far Rockaway, NY
- NPI 1114979556
-
- Physical Therapist
- Far Rockaway, NY
- NPI 1821038381
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.