Active NPI
Jeeness Cruz Macatangay, NP-C
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 308552
- Practice address
- 161 Fort Washington Ave
New York, NY 10032 - Phone
- (646) 317-5077
- NPI assigned
- Feb 6, 2018
- Last updated
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 308552 | NY | Primary |
Addresses
Primary practice location
161 Fort Washington Ave
New York, NY 10032
Mailing address
630 W 168TH St # 4
New York, NY 10032-3725
Phone (646) 317-5077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
116 Millburn Ave
Suite 108
Millburn, NJ 07041-1919
Phone 2122498202302
175 E 96TH St
New York, NY 10128-6200
Phone (212) 776-9090
1800 Chapel Ave W
Suite 303 Icpa Cherry Hill
Cherry Hill, NJ 08002-4605
Phone (856) 554-0500
400 Columbus Ave
Suite 105S
Valhalla, NY 10595-1368
Phone (203) 883-0038
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Care Providers of America | Current | Accepting new patients | |
| Specialty Infusion of NJ PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Civic Medicine, PLLC | Current | Accepting new patients | |
| Nyc Medical Infusion PC | Current | Accepting new patients | |
| Specialty Ic Mass LLC | Past | Accepting new patients |
Locations
1800 Chapel Ave W
Ste 303
Cherry Hill, NJ 08002
Phone (610) 495-6800
557 Cranbury Rd
Ste 17
East Brunswick, NJ 08816
Phone (732) 257-4008
116 Millburn Ave
Ste 108
Millburn, NJ 07041
Phone (212) 249-8202
120 N Route 17
Ste 200
Paramus, NJ 07652
100 Canal Pointe Blvd
Ste 112
Princeton, NJ 08540
Phone (609) 243-8711
1365 Washington Ave
Ste 102A
Albany, NY 12206
Phone (518) 453-9220
1646 Eastchester Rd
Bronx, NY 10461
Phone (212) 249-8202
1047 Surf Ave
Ste 2
Brooklyn, NY 11224
26 Court St
Ste 1210
Brooklyn, NY 11242
Phone (347) 353-3502
5663 E Circle Dr
Cicero, NY 13039
Phone (315) 214-0004
279 Main St
Ste 103
New Paltz, NY 12561
Phone (845) 255-9700
1140 Broadway
New York, NY 10001
Phone (516) 941-6824
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
175 E 96th St
New York, NY 10128
Phone (212) 426-1970
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
5225 Nesconset Hwy
Ste 36
Port Jefferson Station, NY 11776
Phone (631) 928-4870
1865 S Clinton Ave
Ste 160
Rochester, NY 14618
999 E Ridge Rd
Ste 13
Rochester, NY 14621
78 Todt Hill Rd
Ste 110
Staten Island, NY 10314
Phone (718) 227-5505
175 Jericho Tpke
Ste 312
Syosset, NY 11791
Phone (212) 246-3873
400 Columbus Ave
Ste 105S
Valhalla, NY 10595
Phone (203) 883-0038
2 Westchester Park Dr
Ste 101A
White Plains, NY 10604
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
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.
-
- Infusion Therapy Clinic/Center
- Valhalla, NY
- NPI 1801404553
-
- Infusion Therapy Clinic/Center
- New York, NY
- NPI 1932619608
-
- Infusion Therapy Clinic/Center
- Princeton, NJ
- NPI 1013662907
-
- Infusion Therapy Clinic/Center
- Millburn, NJ
- NPI 1225603723
-
dba Department of Medicine
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Infusion Therapy Clinic/Center
- Braintree, MA
- NPI 1346713708
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1659870509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST # 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "646-317-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "646-317-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACATANGAY",
"first_name": "JEENESS",
"middle_name": "CRUZ",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "308552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.