Active NPI
Lia Catherine Cruz, D.O.
- Pediatrics Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS017723
- Practice address
- 160 E Erie Ave
Philadelphia, PA 19134-1011 - Phone
- (215) 427-5369
- NPI assigned
- May 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | OS017723 | PA | Primary |
Addresses
Primary practice location
160 E Erie Ave
Philadelphia, PA 19134-1011
Mailing address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone (215) 427-5369
Other practice location 1
3 Cooper Plz
Camden, NJ 08103-1438
Phone (856) 342-2001
Other names 1
- Dr. Lia Catherine Cannarozzi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017723 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Pediatrics | Current | Accepting new patients |
| Wake Forest Emergency Providers | Current | Accepting new patients | |
| Carolinas Medical Center | Pediatrics | Current | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
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 and National Provider Directory roles.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
Pediatrics
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Pediatrics
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881030005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011",
"telephone_number": "215-427-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191341011",
"telephone_number": "215-427-5369"
}
],
"practiceLocations": [
{
"address_1": "3 Cooper Plz",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031438",
"country_code": "US",
"telephone_number": "856-342-2001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "LIA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS017723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIA",
"last_name": "CANNAROZZI",
"middle_name": "CATHERINE",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.