Active NPI
Frances Acosta De la Cruz, DDS
- Home Health Agency
- Woodside, NY
National Provider Identifier
1952725947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NV20091066908
- Practice address
- 4526 48TH St
Apt 3a
Woodside, NY 11377-5363 - Phone
- (718) 482-8704
- Fax
- (718) 482-8704
- NPI assigned
- Feb 11, 2014
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NV20091066908 | NV | Primary |
Addresses
Primary practice location
4526 48TH St
Apt 3a
Woodside, NY 11377-5363
Mailing address
4526 48TH St Apt 3a
Woodside, NY 11377-5329
Phone (718) 482-8704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NV20091066908 | NV | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1952725947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4526 48TH ST APT 3A",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775329",
"telephone_number": "718-482-8704",
"fax_number": "718-482-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4526 48TH ST",
"address_2": "APT 3A",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113775363",
"telephone_number": "718-482-8704",
"fax_number": "718-482-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "FRANCES",
"middle_name": "ACOSTA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "NV20091066908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.