Individual provider Active NPI

Jeeness Cruz Macatangay, NP-C

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1659870509
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308552 Issued in NY
Practice address
161 Fort Washington Ave
New York, NY 10032
Phone
(646) 317-5077
NPI assigned
Feb 6, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709002030 NY Practitioner - Nurse Practitioner 0143576983 Reassigns benefits to 4 organizations
I20211129000728 NJ Practitioner - Nurse Practitioner 0143576983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Specialty Infusion of NJ PCGroup PAC ID 2860881554, 5 clinicians
Nyc Medical Infusion PCGroup PAC ID 3678834157, 12 clinicians
Infusion Care Providers of AmericaGroup PAC ID 4385019090, 5 clinicians
Civic Medicine, PLLCGroup PAC ID 0345660254, 9 clinicians

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

OrganizationSpecialtyStatusNew patients
Infusion Care Providers of America CurrentSince Sep 1, 2023 Accepting new patients
Specialty Infusion of NJ PC CurrentSince Mar 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jun 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2019 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 CurrentSince Jan 1, 2019 Accepting new patients
Civic Medicine, PLLC CurrentSince Apr 6, 2024 Accepting new patients
Nyc Medical Infusion PC CurrentSince Sep 1, 2021 Accepting new patients
Specialty Ic Mass LLC PastSince Mar 12, 2023 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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.