Active NPI
Catherine C Cruz, RN, NP-C, MSN
- Adult Health Nurse Practitioner
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00683400
- Practice address
- 195 Little Albany St
Rutgers Cancer Institute of New Jersey
New Brunswick, NJ 08901-1914 - Phone
- (732) 235-6455
- Fax
- (732) 235-6462
- NPI assigned
- Oct 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304695 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00683400 | NJ | Primary |
Addresses
Primary practice location
195 Little Albany St
Rutgers Cancer Institute of New Jersey
New Brunswick, NJ 08901-1914
Mailing address
195 Little Albany St
Rutgers Cancer Institute of New Jersey
New Brunswick, NJ 08901-1914
Other names 1
- Catherine Custodio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
195 Little Albany St
New Brunswick, NJ 08901-1914
Phone (732) 235-2465
Hospital & facility affiliations
- Robert Wood Johnson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.4 of 100
- Quality
- 70.64
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304695 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients |
Locations
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465
Interoperability endpoints
- ccruz17915@epicdirect.rwjbh.org
Organizations & group practices 6
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.
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Internal Medicine Physician
- New Brunswick, NJ
- NPI 1992887012
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Clinic/Center
- New Brunswick, NJ
- NPI 1114943743
-
- Radiation Oncology Physician
- New Brunswick, NJ
- NPI 1942249909
-
- Allergy & Immunology Physician
- New Brunswick, NJ
- NPI 1619059011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1255529707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 LITTLE ALBANY ST",
"address_2": "RUTGERS CANCER INSTITUTE OF NEW JERSEY",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 LITTLE ALBANY ST",
"address_2": "RUTGERS CANCER INSTITUTE OF NEW JERSEY",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011914",
"telephone_number": "732-235-6455",
"fax_number": "732-235-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CATHERINE",
"middle_name": "C",
"credential": "RN, NP-C, MSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304695",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00683400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "CUSTODIO",
"credential": "NP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.