ANTONIO A. DE LA CRUZ, MD., PA (NPI# 1447261896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447261896 |
| Entity Type | Organization |
| Organization Name | ANTONIO A. DE LA CRUZ, MD., PA |
| Practice Address |
559 Broad St Newark NJ 07102-4503 |
| Mailing Address |
25 Porsche Dr Matawan NJ 07747-3538 |
| Practice Telephone | 9736223890 |
| Mailing Telephone | 7323970772 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTONIO A. DE LA CRUZ (PRESIDENT) |
| Authorized Official Telephone | 7323970772 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | 25MA03502300 | NJ | Allopathic & Osteopathic Physicians |
| X | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
25MA03502300 | NJ | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | 25MA03502300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2066807 | 05 |
| Street Address |
559 BROAD ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514854 | Jenniliz Mendez | Pediatrics | 559 Broad St, Newark, NJ 07102-4503 | 2015-03-31 |
| 1780011239 | Nicole Theresa Caragian | Nurse Practitioner | 559 Broad St, Newark, NJ 07102-4503 | 2013-09-30 |
| 1801956818 | Marc Roberts M.d. P.a. | Specialist | 559 Broad St, Newark, NJ 07102-4503 | 2006-12-11 |
| 1811008402 | Marc Preston Roberts | Specialist | 559 Broad St, Newark, NJ 07102-4503 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729819 | Thomas Graves | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2017-09-12 |
| 1033455381 | Junfang Jiao | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2012-12-13 |
| 1639325483 | Russell Herman Tomar | Allergy & Immunology | 185 South Orange Avenue, Vh C107, Newark, NJ 07103-2714 | 2008-08-13 |
| 1215195268 | Reena Khianey | Allergy & Immunology | 90 Bergen Street, Doctors Office Center Suite 4500, Newark, NJ 07103 | 2008-05-27 |
| 1417158445 | Upa Np LLC | Allergy & Immunology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-29 |
| 1225249113 | Sokun Ky Bhatti | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-24 |
| 1760492367 | University Physician Associates of New Jersey Inc | Allergy & Immunology | 140 Bergen St, Newark, NJ 07103 | 2006-08-08 |
| 1871525626 | Asthma and Allergy Care of Delaware, P.a. | Allergy & Immunology | 179 W Chestnut Hill Rd, Newark, DE 19713-2210 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161578 | Advocare, LLC | Allergy & Immunology | 1 Eves Dr Ste 109, Marlton, NJ 08053-3125 | 2020-07-15 |
| 1699391565 | Advocare, LLC | Allergy & Immunology | 23-00 Route 208 Ste 2-1, Fair Lawn, NJ 07410-1558 | 2020-06-17 |
| 1134770142 | Allergy Affiliates-michael Viksman Md LLC | Allergy & Immunology | 368 Lakehurst Rd Ste 304, Toms River, NJ 08755-7339 | 2019-09-23 |
| 1184283574 | Health Solutions Network | Allergy & Immunology | 1801 Route 37 E, Toms River, NJ 08753-7165 | 2019-06-10 |
| 1538646096 | Elta Group LLC | Allergy & Immunology | 9b Brookline Ct, Princeton, NJ 08540-1742 | 2018-07-26 |
| 1649784869 | Nj Allergy Md, LLC | Allergy & Immunology | 155 Prospect Ave Ste 108, West Orange, NJ 07052-4204 | 2017-11-27 |
| 1740727411 | Gargi Patel | Allergy & Immunology | 1000 Route 9 N Ste 200, Woodbridge, NJ 07095-1200 | 2017-01-19 |
| 1831648344 | Ulyana Trytko | Allergy & Immunology | 802 W Park Ave Ste 213, Ocean, NJ 07712-8526 | 2016-09-26 |
| 1376921460 | Medcorps Asthma and Pulmonary Specialists LLC | Allergy & Immunology | 100 Kings Way E Ste D1, Sewell, NJ 08080-2238 | 2015-05-11 |
| 1366830820 | Morgan & Associates | Allergy & Immunology | 400 Park Place, Secaucus, NJ 07094 | 2015-01-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANTONIO A. DE LA CRUZ, MD., PA.
| 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.