Raphy Oniel Ulloa de la Cruz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

75 Grand Ave
Englewood, NJ 07631-3522

Phone

(201) 541-8600

Fax

(201) 541-8100

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hudson River Care and Counseling, LLC

  • Clinical Social Worker
  • Englewood, NJ
  • NPI 1821392473
  NPD (past)
• Hudson River Care and Counseling, LLC.

  • Clinical Social Worker
  • Hoboken, NJ
  • NPI 1598115966
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1588213656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N 11TH ST APT 1",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313522",
            "telephone_number": "201-541-8600",
            "fax_number": "201-541-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63A 8th St",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305056",
            "country_code": "US",
            "telephone_number": "201-541-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLOA DE LA CRUZ",
        "first_name": "RAPHY",
        "middle_name": "ONIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Trinidad, CRNA
• Tracey Tumminelli, OTR
• Cindy Wei Tung, MD
• Jausheng Tzeng, MD
• Daniel Chidiebere Udegbe, M.D.
• Urgent Ortho Care
• Urologic Specialties PA
• Urology Center P a
• Urology Center P a
• Javier Urquiola, D.D.S.

• Clinical Social Worker in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.