Active NPI
Marinely Cruz-Amy, M.D.
- Medical Oncology Physician
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME111183
- Practice address
- 765 Image Way
Orange City, FL 32763-8399 - Phone
- (386) 774-7411
- Fax
- (386) 774-7412
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME111183 | FL | Primary |
Addresses
Primary practice location
765 Image Way
Orange City, FL 32763-8399
Mailing address
PO Box 102222
Attn Credentialing Dept
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009351400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000468 | FL | Practitioner - Hematology/Oncology | 9638336639 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University Central del Caribe Escuela de Medicina, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Brevard Medical Support Inc
Practice addresses (Care Compare)
830 Century Medical Dr
Suite B
Titusville, FL 32796-2149
Phone (321) 268-6831
Hospital & facility affiliations
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current | Accepting new patients |
Locations
490 N Washington Ave
Titusville, FL 32796
Phone 32126842003506
250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868
830 Century Medical Dr
Ste B
Titusville, FL 32796
Phone (321) 268-6831
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
Interoperability endpoints
- marinely.cruz-amy.1@17832.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1740499532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"address_2": "ATTN CREDENTIALING DEPT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 IMAGE WAY",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638399",
"telephone_number": "386-774-7411",
"fax_number": "386-774-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-AMY",
"first_name": "MARINELY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME111183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009351400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.