MS. IMELDA GINA LAFORTEZA CRUZ


Address: 90 Bergen St, Suite 7600, Newark, NJ 07101
Phone: 9739729371

MS. IMELDA GINA LAFORTEZA CRUZ (NPI# 1417151994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417151994
Entity Type Individual
Full Name MS. IMELDA GINA LAFORTEZA CRUZ
Other Name GINA LAFORTEZA CRUZ
Credential APN
Practice Address 90 Bergen St
Suite 7600
Newark
NJ 07101
Mailing Address 12 Woodhaven Rd
Parsippany
NJ 07054-1468
Practice Telephone 9739729371
Practice Fax Number 9739720092
Mailing Telephone 9739729371
Mailing Fax Number 9739720092
Enumeration Date 2007-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
26NJ00045500 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 90 BERGEN ST
SUITE 7600
City NEWARK
State NJ
Zip Code 07101

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1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043788300 Winner & Associates, LLC Counselor 1004 Broad Street (suite 206), Newark, NJ 07101 2018-11-05
1679068373 Diego David Garces Grosse Student in an Organized Health Care Education/Training Program 183 South Orange Avenue - Level F, Newark, NJ 07101 2018-06-25
1659880672 Vanessa Latouche Social Worker 183 S Orange Ave. C-level, Newark, NJ 07101 2017-09-21
1295269397 Anand Rajen Desai Student in an Organized Health Care Education/Training Program 185 South Orange Street, Newark, NJ 07101 2017-04-14
1942655568 Ahmed Bilal Sheikh Student in an Organized Health Care Education/Training Program 150 Bergen Street, Uh I-248, Newark, NJ 07101 2016-05-02
1558758524 Hyunseok Kim Student in an Organized Health Care Education/Training Program 150 Bergen Street, Uh-i248, Newark, NJ 07101 2015-04-17
1750776951 David Christopher Palange Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb G-538, Newark, NJ 07101 2015-04-03
1720340649 Noah Aram Melikian Student in an Organized Health Care Education/Training Program 183 South Orange Ave., Dept of Psychiatry, Newark, NJ 07101 2012-06-15
1902125701 Atuhani Seth Burnett Surgery 150 Bergen Street, Suite E-401, Newark, NJ 07101 2010-05-19
1427200385 Gary Todd Fishbein Dentist 150 Bergen Street, Unit 1, Room C-401, Newark, NJ 07101 2008-10-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City NEWARK
Zip Code 07101

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Dataset Information

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.

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