Rafael Buenaventura Dela Cruz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017983-1 Issued in NY

Practice address

5011 Queens Blvd
Woodside, NY 11377-4469

Phone

(718) 347-5635

Fax

(718) 343-2317

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Malcan Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Woodside, NY
  • NPI 1760659239
  Medicare reassignment NPD Authorized official
• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment NPD
• Optimum Therapeutics PT & OT PLLC

  • Physical Therapist
  • Melville, NY
  • NPI 1972882322
  NPD
• Propel Physical Therapy PC

  • Physical Therapist
  • Greenvale, NY
  • NPI 1619519972
  NPD (past)
• South Ocean Care LLC

  • Clinic/Center
  • Freeport, NY
  • NPI 1205811049
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 270TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401527",
            "telephone_number": "718-749-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 QUEENS BLVD",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774469",
            "telephone_number": "718-347-5635",
            "fax_number": "718-343-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "RAFAEL",
        "middle_name": "BUENAVENTURA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Vincent De Rosa, MD
• Emma Deacon, RN
• Deanne H Lee
• Patricia Degaetani
• Benilda Rivera Dela Cruz
• John Robert Delfs, M.D.
• Xiomara Delgado, MSN, RN FNP
• Rajesh Devram, O.D
• Dhaka Home Care Inc
• Oscar O Diaz, LAC

• Physical Therapist in Woodside, NY
• Providers in Woodside, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.