Active NPI
Alcedo A Cruz, MD
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1457498933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 218684
- Practice address
- 375 E Fordham Rd
Bronx, NY 10458-5033 - Phone
- (718) 584-3826
- NPI assigned
- Jan 31, 2007
- Last updated
- Feb 9, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 218684 | NY | Primary |
Addresses
Primary practice location
375 E Fordham Rd
Bronx, NY 10458-5033
Mailing address
153 Parkside Dr
Union, NJ 07083-5559
Phone (908) 964-2645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02131400 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218684 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Dentistry PC | Past | Accepting new patients | |
| Juan T. Estevez MD PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1952599003
-
- Dentist
- Bronx, NY
- NPI 1548494826
-
- Pediatrics Physician
- Bronx, NY
- NPI 1952596280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1457498933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 PARKSIDE DR",
"city": "UNION",
"state": "NJ",
"postal_code": "070835559",
"telephone_number": "908-964-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585033",
"telephone_number": "718-584-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ALCEDO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "218684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02131400",
"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 Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.