Individual provider Active NPI

Royston Cruickshank, MD

  • Psychiatry Physician
  • Springfield, NJ
National Provider Identifier
1548331622
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MAD6871500 Issued in NJ
Practice address
11 Dundar Road
Suite #105
Springfield, NJ 07081-3024
Phone
(973) 788-5180
Fax
(973) 788-5183
NPI assigned
Nov 12, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Psychiatry Physician 2084P0800X 25MAD6871500 NJ Primary

Addresses

Primary practice location

11 Dundar Road
Suite #105
Springfield, NJ 07081-3024

Mailing address

11 Dundar Road
Suite #105
Springfield, NJ 07081-3024
Phone (973) 788-5180

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110218000710 NJ Practitioner - Psychiatry 4981885266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Confidential Behavioral CareGroup PAC ID 3072684950, 3 clinicians

Practice addresses (Care Compare)

11 Dundar Rd
Suite 105
Springfield, NJ 07081-3513
Phone (973) 788-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAD6871500NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Sep 1, 2015 Accepting new patients
Confidential Behavioral Care CurrentSince Jun 2, 2014 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1010 Park Ave
Plainfield, NJ 07060
Phone (732) 469-9407

11 Dundar Rd
Ste 105
Springfield, NJ 07081
Phone (908) 822-9099

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1548331622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNDAR ROAD",
            "address_2": "SUITE #105",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813024",
            "telephone_number": "973-788-5180",
            "fax_number": "973-788-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNDAR ROAD",
            "address_2": "SUITE #105",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813024",
            "telephone_number": "973-788-5180",
            "fax_number": "973-788-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUICKSHANK",
        "first_name": "ROYSTON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MAD6871500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.