GRACE DE LA CRUZ (NPI# 1053759738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053759738 |
| Entity Type | Individual |
| Full Name | GRACE DE LA CRUZ |
| Credential | PA-C |
| Practice Address |
1255 Raritan Rd Ste F4b Clark NJ 07066-1200 |
| Mailing Address |
1345 Rxr Plz Uniondale NY 11556-1301 |
| Practice Telephone | 8482060072 |
| Mailing Telephone | 5164530435 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00304700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 016426 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Galloping Hill Rd, Union, NJ 070837989 | 9085226300 |
| Street Address |
1255 RARITAN RD STE F4B |
| City | CLARK |
| State | NJ |
| Zip Code | 07066-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184651655 | Abel John Cherian | Emergency Medicine | 1255 Raritan Rd Ste F4b, Clark, NJ 07066-1200 | 2006-06-28 |
| 1336585710 | Saadia Mohsin | Emergency Medicine | 1255 Raritan Rd Ste F4b, Clark, NJ 07066 | 2013-05-13 |
| 1619108172 | Melissa Petronella | Physician Assistant | 1255 Raritan Rd Ste F4b, Clark, NJ 07066 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
| 1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
| 1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
| 1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
| 1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
| 1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
| 1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
| 1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
| 1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
| 1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
| Find all providers in zip 07066 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216332 | Laura Beth Wagner | Physician Assistant | 14 Deerwood Dr, Clark, NJ 07066-2817 | 2012-09-07 |
| 1740269265 | Louann L Streff | Physician Assistant | 117 1st Ave W, Clark, SD 57225-1624 | 2006-01-12 |
| 1194025411 | Jalpa Patel | Physician Assistant | 1075 Central Ave, Clark, NJ 07066-1116 | 2010-11-02 |
| 1619108172 | Melissa Petronella | Physician Assistant | 1255 Raritan Rd Ste F4b, Clark, NJ 07066 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.