Individual provider Active NPI

Laura K Cruz, DC

  • Chiropractor
  • Middletown, NY
National Provider Identifier
1790010403
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011796-1 Issued in NY
Practice address
19 Rondack Rd
Middletown, NY 10941-1622
Phone
(845) 673-1184
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011796-1 NY Primary

Addresses

Primary practice location

19 Rondack Rd
Middletown, NY 10941-1622

Mailing address

19 Rondack Rd
Middletown, NY 10941-1622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015001458 NY Practitioner - Chiropractic 6305266255 Reassigns benefits to 1 organization
Practice locations: Middletown, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotchtown Chiropractic PLLCGroup PAC ID 7416436670, 3 clinicians

Practice addresses (Care Compare)

633 Route 211 E
Middletown, NY 10941-1780
Phone (845) 692-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011796-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scotchtown Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2026 Accepting new patients
Bela a Gesztesi III PT PLLC PastSince Feb 1, 2026 Accepting new patients
Cruz Family Chiropractic PastSince Aug 15, 2020 Accepting new patients

Locations

633 Route 211 E
Ste 2
Middletown, NY 10941
Phone (845) 692-3224

633 Route 211 E
Middletown, NY 10941
Phone (845) 692-3224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1790010403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RONDACK RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RONDACK RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411622",
            "telephone_number": "845-673-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LAURA",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.