Active NPI
Malgorzata Lis-Cruz, PT
- Physical Therapist
- Far Rockaway, NY
National Provider Identifier
1821038381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013294
- Practice address
- 1600 Central Ave 5TH Floor
Far Rockaway, NY 11691 - Phone
- (718) 337-3390
- Fax
- (718) 337-3339
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013294 | NY | Primary |
Addresses
Primary practice location
1600 Central Ave 5TH Floor
Far Rockaway, NY 11691
Mailing address
16 Cornwell St
Rockville Centre, NY 11570-1903
Phone (516) 431-4051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1600 Central Ave
FL 5
Far Rockaway, NY 11691-4018
Phone (718) 337-3390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cruz Physical Therapy, PC | Current | Accepting new patients | |
| Luis F. Cruz MD PC | Current | Accepting new patients | |
| Northstar Medical PLLC | Past | Accepting new patients |
Locations
1600 Central Ave
Fl 5
Far Rockaway, NY 11691
Phone (718) 337-3390
493 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 265-9900
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.
-
- Physical Therapy Clinic/Center
- Far Rockaway, NY
- NPI 1770927063
-
- Physical Medicine & Rehabilitation Physician
- Far Rockaway, NY
- NPI 1205979275
-
- Orthopaedic Surgery Physician
- Brooklyn, NY
- NPI 1518910207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1821038381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CORNWELL ST",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701903",
"telephone_number": "516-431-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CENTRAL AVE 5TH FLOOR",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "11691",
"telephone_number": "718-337-3390",
"fax_number": "718-337-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIS-CRUZ",
"first_name": "MALGORZATA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; 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.