Individual provider Active NPI

Zenaida Reyes Ignacio-Cruz, MD

  • Pediatrics Physician
  • Lake Ronkonkoma, NY
National Provider Identifier
1972546158
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
153800 Issued in NY
Practice address
42 Metzner Rd
Lake Ronkonkoma, NY 11779-2141
Phone
(631) 588-4443
Fax
(631) 588-1261
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 153800 NY Primary

Addresses

Primary practice location

42 Metzner Rd
Lake Ronkonkoma, NY 11779-2141

Mailing address

42 Metzner Rd
Lake Ronkonkoma, NY 11779-2141
Phone (631) 588-4443

Other identifiers 1

IdentifierTypeStateIssuer
01135446MedicaidNY

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153800NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972546158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 METZNER RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792141",
            "telephone_number": "631-588-4443",
            "fax_number": "631-588-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 METZNER RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792141",
            "telephone_number": "631-588-4443",
            "fax_number": "631-588-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO-CRUZ",
        "first_name": "ZENAIDA",
        "middle_name": "REYES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "153800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01135446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.