Active NPI
Jacquelyn Santiago Dela Cruz
- Physical Therapist
- Yonkers, NY
National Provider Identifier
1992939789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029869
- Practice address
- 1730 Central Park Ave Ste 3
Yonkers, NY 10710-4905 - Phone
- (914) 509-5727
- NPI assigned
- May 7, 2009
- Last updated
- Jul 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029869 | NY | Primary |
Addresses
Primary practice location
1730 Central Park Ave Ste 3
Yonkers, NY 10710-4905
Mailing address
1730 Central Park Ave Ste 3
Yonkers, NY 10710-4905
Phone (914) 509-5727
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029869 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1992939789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 CENTRAL PARK AVE STE 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107104905",
"telephone_number": "914-509-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 CENTRAL PARK AVE STE 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107104905",
"telephone_number": "914-509-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "JACQUELYN SANTIAGO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.