Organization Active NPI

Delacruz&Delacruz Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Clifton, NJ
National Provider Identifier
1669725180
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DELACRUZ&DELACRUZ MEDICAL SUPPLY
Practice address
258 E 1St St
Clifton, NJ 07011-1643
Phone
(973) 510-1101
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Ana Virginia De la Cruz
Title
General Manager
Phone
(973) 510-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NJ Primary

Addresses

Primary practice location

258 E 1St St
Clifton, NJ 07011-1643

Mailing address

258 E 1St St
Clifton, NJ 07011-1643
Phone (973) 510-1101

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1669725180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 E 1ST ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111643",
            "telephone_number": "973-510-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E 1ST ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111643",
            "telephone_number": "973-510-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELACRUZ&DELACRUZ MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "973-510-1101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.