Active NPI
Gabriel Arturo Noble Cruz, MD
- Pediatrics Physician
- King of Prussia, PA
National Provider Identifier
1649701764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD481707
- Practice address
- 550 S Goddard Blvd
King of Prussia, PA 19406-2922 - Phone
- (610) 337-3232
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD481707 | PA | Primary |
Addresses
Primary practice location
550 S Goddard Blvd
King of Prussia, PA 19406-2922
Mailing address
633 W Rittenhouse St Apt A519
Philadelphia, PA 19144-4340
Other practice location 1
86 Calle Onix
Urb Pedregales
Rio Grande, PR 00745-4336
Phone (787) 502-3224
Other practice location 2
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-1000
Other practice location 3
Penn State Health Milton S Hershey Medical Center
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190822002091 | PA | Order and Referring Only - Pediatric Medicine | 0042548406 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD481707 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1649701764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 W RITTENHOUSE ST APT A519",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GODDARD BLVD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062922",
"telephone_number": "610-337-3232"
}
],
"practiceLocations": [
{
"address_1": "86 Calle Onix",
"address_2": "Urb Pedregales",
"address_purpose": "LOCATION",
"city": "Rio Grande",
"state": "PR",
"postal_code": "007454336",
"country_code": "US",
"telephone_number": "787-502-3224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167710",
"country_code": "US",
"telephone_number": "602-933-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Penn State Health Milton S Hershey Medical Center",
"address_2": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-8006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOBLE CRUZ",
"first_name": "GABRIEL",
"middle_name": "ARTURO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-21",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD481707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.