Individual provider Active NPI

Kristine Michelle Cruz, MD

  • Surgery Physician
  • Garden City, NY
National Provider Identifier
1780841569
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
246013 Issued in NY
Practice address
1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone
(516) 542-6880
Fax
(516) 542-5556
NPI assigned
May 20, 2008
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 047528 CT
Surgery Physician 208600000X 246013 NY Primary

Addresses

Primary practice location

1000 Zeckendorf Blvd
Garden City, NY 11530-2133

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100913000657 NY Practitioner - General Surgery 6103977251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

700 White Plains Rd
Suite 241
Scarsdale, NY 10583-5013
Phone (855) 830-8346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VR Physician for Vein Restoration CurrentSince Jul 14, 2018 Accepting new patients
VR Physician for Vein Restoration CurrentSince Jul 14, 2018 Accepting new patients
Center for Vein Restoration CT LLC Past Accepting new patients
New York Bariatrics and Laparoscopy PC Past Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

3250 Westchester Ave
Ste 201
Bronx, NY 10461
Phone (347) 675-8903

32 Court St
Ste 1703
Brooklyn, NY 11201
Phone (718) 704-3032

32 Court St
Ste 2200
Brooklyn, NY 11201

700 White Plains Rd
Ste 241
Scarsdale, NY 10583
Phone (914) 472-2222

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kristine.cruzmd.p3@direct.cvr.nextgenshare.com
  • Direct secure messaging: kristine.cruzmd.p5@direct.cvr.nextgenshare.com

Organizations & group practices 4

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1780841569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KRISTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "047528",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "246013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.