Dessialis Cruz, RPA-C, MPA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

013943-1 Issued in NY

Practice address

184 Barton St
Buffalo, NY 14213-1573

Phone

(716) 881-6191

Fax

(716) 881-6247

NPI assigned

Apr 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Akl Medical PC

  • Allergy & Immunology Physician
  • Olean, NY
  • NPI 1801447388
  Medicare reassignment
• Excelsior Orthopaedics LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1831196757
  Medicare reassignment
• Excelsior Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1003058462
  NPD

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1982920898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-881-6191",
            "fax_number": "716-881-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-881-6191",
            "fax_number": "716-881-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DESSIALIS",
        "name_prefix": "Mrs.",
        "credential": "RPA-C, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013943-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03418926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennisha Crump
• Jenell Crumpley
• Olga Cruz-Barrios
• Bernardino S Cruz
• Chenelle Cruz
• Jose P Cruz, MD
• Myra T Cruz, M.D.
• Raymond Cruz
• Tatiana Cruz, BA
• Yakira Cruz, MSW

• Medical Physician Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.

Verify at the official NPI Registry.