Racquel San Juan

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB06938800 Issued in NJ

Practice address

11 Bishop Place
New Brunswick, NJ 08901-1180

Phone

(732) 932-7402

Fax

(732) 932-1223

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Racquel Cruz Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMS Clinical Services of New Jersey LLCGroup PAC ID 8426451824, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• TMS Clinical Services of New Jersey LLC

  • Psychiatry Physician
  • Warren, NJ
  • NPI 1700469160
  Medicare reassignment Care Compare group NPD Authorized official
• Rutgers, That State University of New Jersey

  • Psychiatry Physician
  • New Brunswick, NJ
  • NPI 1679880983
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295847713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MOUNTAINVIEW RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "07059",
            "telephone_number": "908-720-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BISHOP PLACE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011180",
            "telephone_number": "732-932-7402",
            "fax_number": "732-932-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "RACQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB06938800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACQUEL",
            "last_name": "CRUZ",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Afshin Salsali, MD
• Rachel Salwen, DNP CRNA
• Ruwaa Samarrai, MD
• Kimberly Ann Samonte, M.D.
• Loleta C Samuel, NP
• Jessica Sanchez, FNP-C
• Sergio Sanchez, M.D.
• Vanessa Sanchez, WHNP
• William Charles Sanderson, LCSW
• Marc Sandhaus

• Psychiatry Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.