Individual provider Active NPI

Van Gabriel S Cruz, PT, DPT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1720819261
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042951 Issued in NY
Practice address
7064 Yellowstone Blvd Apt 4E
Forest Hills, NY 11375-3564
Phone
(929) 641-7608
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042951 NY Primary

Addresses

Primary practice location

7064 Yellowstone Blvd Apt 4E
Forest Hills, NY 11375-3564

Mailing address

7064 Yellowstone Blvd Apt 4E
Forest Hills, NY 11375-3564
Phone (929) 641-7608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000492 NY Practitioner - Physical Therapist in Private Practice 4880132273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042951NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Aug 8, 2024 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720819261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7064 YELLOWSTONE BLVD APT 4E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753564",
            "telephone_number": "929-641-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7064 YELLOWSTONE BLVD APT 4E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753564",
            "telephone_number": "929-641-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "VAN GABRIEL",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.