Antonio A De la Cruz, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

25MA06376600 Issued in NJ

Practice address

197 Bloomfield Ave
Verona, NJ 07044-2702

Phone

(973) 857-0330

Fax

(973) 857-0980

NPI assigned

Oct 11, 2005

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy Consultants, PA

  • Specialist
  • Verona, NJ
  • NPI 1669416962
  Medicare reassignment NPD

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1467440776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442702",
            "telephone_number": "973-857-0330",
            "fax_number": "973-857-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442702",
            "telephone_number": "973-857-0330",
            "fax_number": "973-857-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "ANTONIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA06376600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Cruz, PT, DPT
• Shannon Patricia Curtin, PT,DPT
• Kennedy Palwasha Fazli Daftani, M.D, MHSA
• Mohammad Daoud Daftani, M.D
• Jane Ellen Daniel, RD
• Katherine Anne Decourcelle, PA-C
• Alison Del Duca, CCC-SLP
• Kimberly Delia
• Courtney Delli Paoli, MS-SLP
• Vanessa Christine Demarmels, OTR/L

• Allergy & Immunology Physician in Verona, NJ
• Providers in Verona, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.