GABRIEL JOSE DIAZ CRUZ (NPI# 1285231910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285231910 |
| Entity Type | Individual |
| Full Name | GABRIEL JOSE DIAZ CRUZ |
| Practice Address |
100 Front St Ste 280 Conshohocken PA 19428-2891 |
| Practice Telephone | 2158600100 |
| Mailing Telephone | 2158600100 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 FRONT ST STE 280 |
| City | CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428-2891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134410285 | Saima Iqbal Ali | Psychiatry & Neurology | 100 Front St Ste 280, Conshohocken, PA 19428-2800 | 2011-04-25 |
| 1790394153 | Melissa Miles | Technician, Other | 100 Front St Ste 280, Conshohocken, PA 19428-2891 | 2020-07-30 |
| 1871110650 | Amber Garcia | Specialist/Technologist, Other | 100 Front St Ste 280, Conshohocken, PA 19428-2891 | 2020-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538687587 | Garrett David Bosworth | Specialist/Technologist | 3600 Atwood St, Pittsburgh, PA 15213 | 2017-08-30 |
| 1669841391 | Kyle Datz | Specialist/Technologist | 311 Ridge St, Freeland, PA 18224-2021 | 2015-09-23 |
| 1265695845 | Kelly L Hitchings | Specialist/Technologist | 589 Laurel Run Road, W Decatur, PA 16878 | 2008-07-03 |
| 1306988985 | Wiley F Nelson | Specialist/Technologist | 625 Brown Ave, Turtle Creek, PA 15145-1137 | 2007-02-12 |
| 1942273271 | Mark L Grothmann | Specialist/Technologist | 450 Ellis Ln, West Chester, PA 19380-5123 | 2006-02-08 |
| 1467440396 | April Michele Mcdonald | Specialist/Technologist | Windsor St, Hamburg High School, Hamburg, PA 19526 | 2005-10-13 |
| 1316932627 | Todd E Bartley | Specialist/Technologist | 56 Prestwick Ct, Royersford, PA 19468-1546 | 2005-09-13 |
| 1649752940 | Laura Jean Marshall | Specialist/Technologist | 3719 Terrace St, Pittsburgh, PA 15213 | 2018-09-04 |
| 1760964399 | Rylie Krapf | Specialist/Technologist | 1801 N Broad St, Philadelphia, PA 19122-6003 | 2018-08-30 |
| 1346783156 | Kelsey Wall | Specialist/Technologist | 960 Century Dr, Mechanicsburg, PA 17055-4530 | 2016-11-28 |
| Find all providers with the same taxonomy | ||||
| City | CONSHOHOCKEN |
| Zip Code | 19428 |
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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.