Active NPI
Brandon Cruz, PT, DPT
- Physical Therapist
- Verona, NJ
National Provider Identifier
1447684642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01514700
- Practice address
- 271 Grove Ave Ste C
Verona, NJ 07044-1729 - Phone
- (201) 340-4846
- Fax
- (973) 513-6105
- NPI assigned
- Aug 25, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01514700 | NJ | Primary |
Addresses
Primary practice location
271 Grove Ave Ste C
Verona, NJ 07044-1729
Mailing address
1 Macopin Ave
Riverdale, NJ 07457-1609
Phone (973) 271-3368
Other practice location 1
15 Bloomfield Ave
Montclair, NJ 07042-4888
Phone (973) 744-2770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
271 Grove Ave
Suite C
Verona, NJ 07044-1729
Phone (201) 340-4846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursue Physical Therapy & Performance Training | Current | Accepting new patients | |
| A to Z Total Healthcare LLC | Physical Therapist | Past | Accepting new patients |
Locations
80 River St
Ste 2E
Hoboken, NJ 07030
Phone (973) 477-3522
271 Grove Ave
Ste C
Verona, NJ 07044
Phone (201) 340-4846
Organizations & group practices 2
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.
-
- Sports Physical Therapist
- Verona, NJ
- NPI 1871962175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447684642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MACOPIN AVE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571609",
"telephone_number": "973-271-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 GROVE AVE STE C",
"city": "VERONA",
"state": "NJ",
"postal_code": "070441729",
"telephone_number": "201-340-4846",
"fax_number": "973-513-6105"
}
],
"practiceLocations": [
{
"address_1": "15 Bloomfield Ave",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070424888",
"country_code": "US",
"telephone_number": "973-744-2770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-25",
"last_updated": "2022-07-21",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01514700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.