Individual provider Active NPI

Christina Cruz, FNP

  • Family Nurse Practitioner
  • Airmont, NY
National Provider Identifier
1255067427
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349904 Issued in NY
Practice address
5 N Airmont Rd Ste 4
Airmont, NY 10901-5152
Phone
(845) 547-0300
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F349904 NY
Nurse Practitioner 363L00000X 26NJ01441500 NJ
Family Nurse Practitioner 363LF0000X F349904 NY Primary

Addresses

Primary practice location

5 N Airmont Rd Ste 4
Airmont, NY 10901-5152

Mailing address

5 N Airmont Rd Ste 4
Airmont, NY 10901-5152

Other practice location 1

60 Dutch Hill Rd Ste 18
Orangeburg, NY 10962-1722
Phone (845) 359-4770

Other practice location 2

2150 Route 38
Cherry Hill, NJ 08002-4302
Phone (877) 345-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002582 NY Practitioner - Nurse Practitioner 8325422058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians
Dermatology Center of Rockland PCGroup PAC ID 0446140750, 7 clinicians

Practice addresses (Care Compare)

5 N Airmont Rd
Airmont, NY 10901-5101
Phone (845) 547-0300

60 Dutch Hill Rd
Suite 18
Orangeburg, NY 10962-1722
Phone (845) 359-4770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01441500NJMDNurse Practitioner
F349904NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Rockland, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Divinity Medical Services PLLC CurrentSince May 18, 2022 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

5 N Airmont Rd
Airmont, NY 10901
Phone (845) 547-0300

5 N Airmont Rd
Ste 4
Airmont, NY 10901
Phone (845) 547-0300

42 Rockland Plz
Ste 22
Nanuet, NY 10954
Phone (845) 367-7395

60 Dutch Hill Rd
Ste 18
Orangeburg, NY 10962
Phone (845) 359-4770

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1255067427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N AIRMONT RD STE 4",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109015152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N AIRMONT RD STE 4",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109015152",
            "telephone_number": "845-547-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Dutch Hill Rd Ste 18",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "109621722",
            "country_code": "US",
            "telephone_number": "845-359-4770",
            "fax_number": "845-359-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Route 38",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080024302",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHRISTINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F349904",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01441500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Airmont, NY

Sources for this page

Verify at the official NPI Registry.