Jaime Cruz

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

191 Forest Ave
Locust Valley, NY 11560-2143

Phone

(516) 827-1970

NPI assigned

Aug 30, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1376328989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SKUNKS MISERY RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601320",
            "telephone_number": "917-804-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 FOREST AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602143",
            "telephone_number": "516-827-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Rose Charon
• Children'S Speech and Rehabilitation Therapy, and Speech-Language Path
• Elaine Patricia Chilesky, OTR/L
• Christina Dibernardo LMHC PC
• Robert Peter Coyne, R.PH.
• Vincent R D'Acunto, DPT
• Jenna Decarlo
• Philip V Deluca, MD
• Geri R Dunckley, DPT
• Alexander Escamilla, NP-C

• Specialist in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.