Active NPI
Roy A Cruz
- Mental Health Counselor
- Cherry Hill, NJ
National Provider Identifier
1447015367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00765000
- Practice address
- 57 Haddonfield Rd Ste 120
Cherry Hill, NJ 08002-4813 - Phone
- (856) 566-2756
- NPI assigned
- Feb 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00765000 | NJ | Primary |
Addresses
Primary practice location
57 Haddonfield Rd Ste 120
Cherry Hill, NJ 08002-4813
Mailing address
671 Hoes Lane
Piscataway, NJ 08854
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00765000 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1447015367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 HOES LANE",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "08854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HADDONFIELD RD STE 120",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080024813",
"telephone_number": "856-566-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ROY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00765000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.