Individual provider Active NPI

Epifania M Cruz, M.D.

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1710022793
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA59969 Issued in NJ
Practice address
2301 E Evesham Rd
Suite 605
Voorhees, NJ 08043-4501
Phone
(856) 772-4971
Fax
(856) 772-1140
NPI assigned
Feb 20, 2007
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA59969 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd
Suite 605
Voorhees, NJ 08043-4501

Mailing address

2301 E Evesham Rd
Suite 605
Voorhees, NJ 08043-4501
Phone (856) 772-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000780 NJ Practitioner - Internal Medicine 7618912403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2301 E Evesham Rd
Suite 605
Voorhees, NJ 08043-4507
Phone (856) 772-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA59969NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Integrated Longevity Anti-Aging Center, Inc. CurrentSince Mar 3, 2013 Accepting new patients
Neurology Pain Associates, PC Past Accepting new patients

Locations

2301 E Evesham Rd
Ste 605
Voorhees, NJ 08043
Phone (856) 770-6222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1710022793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 605",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-4971",
            "fax_number": "856-772-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 605",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-4971",
            "fax_number": "856-772-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "EPIFANIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA59969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.