Active NPI
Dionisio V Cruz, MD
- Nephrology Physician
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA03414900
- Practice address
- 35 Beaverson Blvd
Ste 5C
Brick, NJ 08723-7858 - Phone
- (732) 451-0063
- Fax
- (732) 451-0063
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA03414900 | NJ | Primary |
Addresses
Primary practice location
35 Beaverson Blvd
Ste 5C
Brick, NJ 08723-7858
Mailing address
2100 State Route 33
Ste 15
Neptune, NJ 07753-6116
Phone (732) 451-0063
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0042599 | Other | NJ | AETNA |
| 1709607 | Medicaid | NJ | |
| 222271316 | Other | NJ | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 S Cooks Bridge Rd
Suite 2 11
Jackson, NJ 08527-2463
Phone (732) 460-1200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03414900 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Centers | Nephrology | Current | Accepting new patients |
| Shore Nephrology PA. | Nephrology | Current | Accepting new patients |
| Shore Health Group, PC | Past | Accepting new patients |
Locations
35 Beaverson Blvd
Ste 5C
Brick, NJ 08723
Phone (732) 451-0063
1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662
27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 575-1100
2100 State Route 33
Ste 15
Neptune, NJ 07753
Phone (732) 988-8228
1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387
Interoperability endpoints
- dionisio.cruz@direct.davitaphysiciansolutions.com
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.
-
- Nephrology Physician
- Eatontown, NJ
- NPI 1689302424
-
- Nephrology Physician
- Neptune, NJ
- NPI 1003926171
-
- Internal Medicine Physician
- Ocean, NJ
- NPI 1902944416
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care Brick Boulevard
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brick, NJ
- NPI 1477143725
Dialysis facility
-
dba HMH Behavioral Health Home
- Clinic/Center
- Neptune, NJ
- NPI 1053880286
Hospital
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Neptune City, NJ
- NPI 1962128496
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1609833961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 STATE ROUTE 33",
"address_2": "STE 15",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077536116",
"telephone_number": "732-451-0063",
"fax_number": "732-451-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BEAVERSON BLVD",
"address_2": "STE 5C",
"city": "BRICK",
"state": "NJ",
"postal_code": "087237858",
"telephone_number": "732-451-0063",
"fax_number": "732-451-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DIONISIO",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA03414900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0042599",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1709607",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "222271316",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
- Delaney Cronin, LSW
- Kerri Lynn Crossnohere, SLP
- CRP Worthington Lessee, L.P. (Sunrise Senior Living at Brick)
- Daniel Joseph Cruoglio, DC
- Francis J Crupi
- Melanie Lynn Cruz, LCSW
- Cuidado Casero Home Health Care of New Jersey
- Margaret M Cunniff, LCSW
- Rosa Curcia, LCSW
- Brittany Alexis Curran, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.