Mirta Delacruz, M.S.ED

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

44 Court St Ste 1217
Brooklyn, NY 11201-4410

Phone

(347) 491-5007

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mirta Delacruz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1700546991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 EASTERN PKWY APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112251414",
            "telephone_number": "609-210-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COURT ST STE 1217",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014410",
            "telephone_number": "347-491-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "MIRTA",
        "credential": "M.S.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRTA",
            "last_name": "DELACRUZ",
            "credential": "M.S.ED.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anelsy Martiza Delacruz
• Carline Delacruz
• Mariela Altagracia Delacruz, LCSW
• Martin Delacruz, LMSW
• Melisa Delacruz
• Danielle Delade, LCAT, ATR-BC
• Joelle Nailah Delagarde, OTR/L
• Tracey Antoinette Delahaye
• Dania Delamo, DPT
• Randy Delandro, LPN

• Contractor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.