Active NPI
Elisandro De la Cruz, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1295038826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 083913
- Practice address
- 1500 Waters PL
Bronx, NY 10461-2723 - Phone
- (718) 993-3397
- NPI assigned
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 083913 | NY | Primary |
Addresses
Primary practice location
1500 Waters PL
Bronx, NY 10461-2723
Mailing address
561 Cauldwell Ave Apt E3
Bronx, NY 10455-2955
Phone (347) 374-7651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802949 | Other | NY | ALBERT EINSTEIN COLLEGE OF MEDICINE ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1295038826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 CAULDWELL AVE APT E3",
"city": "BRONX",
"state": "NY",
"postal_code": "104552955",
"telephone_number": "347-374-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WATERS PL",
"city": "BRONX",
"state": "NY",
"postal_code": "104612723",
"telephone_number": "718-993-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "ELISANDRO",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-21",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "083913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALBERT EINSTEIN COLLEGE OF MEDICINE ID NUMBER",
"identifier": "802949",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.