Organization Active NPI

Avelino Cruz MD PC

Doing business as avelino n. cruz

  • Sleep Medicine (Internal Medicine) Physician
  • Marmora, NJ
National Provider Identifier
1508989872
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MA33741 Issued in NJ
Legal business name
AVELINO CRUZ MD PC
Doing business as
avelino n. cruz
Practice address
60 Tuckahoe Rd
Marmora, NJ 08223-1206
Phone
(609) 390-2632
Fax
(609) 390-9210
NPI assigned
Apr 9, 2007
Last updated
Mar 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Dr. Avelino N Cruz, M.D.NPI 1639118862
Title
President
Phone
(609) 390-2632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MA33741 NJ Primary

Addresses

Primary practice location

60 Tuckahoe Rd
Marmora, NJ 08223-1206

Mailing address

60 Tuckahoe Rd
Marmora, NJ 08223-1206
Phone (609) 390-2632

Other identifiers 1

IdentifierTypeStateIssuer
0952303MedicaidNJ

Other names 1

  • avelino n. cruz Doing business as

National Provider Directory

National Provider Directory

Locations

1305 Route 50
Mays Landing, NJ 08330
Phone (609) 567-9022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1508989872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TUCKAHOE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-390-2632",
            "fax_number": "609-390-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TUCKAHOE RD",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231206",
            "telephone_number": "609-390-2632",
            "fax_number": "609-390-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELINO CRUZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "AVELINO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-390-2632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "MA33741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "avelino n. cruz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.