Active NPI
Tania Milan Cruz, RN CDCES
- Diabetes Educator Registered Nurse
- New York, NY
National Provider Identifier
1669164844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 749197
- Practice address
- 230 W 17TH St
New York, NY 10011-5325 - Phone
- (212) 206-5200
- Fax
- (212) 206-5279
- NPI assigned
- May 24, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 26NR23022300 | NJ | |
| Health Educator | 174H00000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | 749197 | NY | Primary |
Addresses
Primary practice location
230 W 17TH St
New York, NY 10011-5325
Mailing address
200 Old Palisade Rd Apt 5E
Fort Lee, NJ 07024-7058
Phone (347) 479-9400
Other practice location 1
45 Whitney Rd Ste 2M
Mahwah, NJ 07430-3160
Phone (201) 444-0337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR23022300 | NJ | MD | Diabetes Educator Registered Nurse |
| 749197 | NY | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1669164844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OLD PALISADE RD APT 5E",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247058",
"telephone_number": "347-479-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 17TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115325",
"telephone_number": "212-206-5200",
"fax_number": "212-206-5279"
}
],
"practiceLocations": [
{
"address_1": "45 Whitney Rd Ste 2M",
"address_purpose": "LOCATION",
"city": "Mahwah",
"state": "NJ",
"postal_code": "074303160",
"country_code": "US",
"telephone_number": "201-444-0337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILAN CRUZ",
"first_name": "TANIA",
"credential": "RN CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NJ",
"license": "26NR23022300",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "749197",
"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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.