Individual provider Active NPI

Brianna De la Cruz

  • Registered Dietitian
  • Hillsborough, NJ
National Provider Identifier
1225739592
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86174605 Issued in NJ
Practice address
390 Amwell Rd
Hillsborough, NJ 08844-1225
Phone
(732) 907-0810
NPI assigned
Mar 14, 2023
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86174605 NJ Primary

Addresses

Primary practice location

390 Amwell Rd
Hillsborough, NJ 08844-1225

Mailing address

20 Simonson LN
Hillsborough, NJ 08844-5249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622002975 NJ Practitioner - Registered Dietitian Or Nutrition Professional 6002274040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86174605NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish & Flourish Nutrition Therapy Dietitian, Registered CurrentSince Feb 11, 2026 Accepting new patients
Caruso Physical Therapy and Nutrition, LLC CurrentSince Mar 20, 2023 Accepting new patients
Ipta Clinical, LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

1278 Yardville Allentown Rd
Ste 3
Allentown, NJ 08501
Phone (609) 738-3143

390 Amwell Rd
Ste 329
Hillsborough, NJ 08844
Phone (732) 907-0810

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1225739592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SIMONSON LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "732-907-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86174605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.