NICOLAS DE LA CRUZ MS, RDN, CDN
NPI 1043044746
Dietitian, Registered in Bronx, NY

Q: What is Nicolas De La Cruz's NPI number?

The NPI number for Nicolas De La Cruz is 1043044746. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Nicolas De La Cruz's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since August 27, 2024

199 MOUNT EDEN PKWY, BRONX, NY 10457(718) 992-7669 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicolas De La Cruz Ms, Rdn, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLAS DE LA CRUZ MS, RDN, CDN (NPI 1043044746) is an individual dietitian, registered in Bronx, New York, licensed in New York (009963) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1043044746

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameNICOLAS DE LA CRUZCredential: MS, RDN, CDN

Location Address199 MOUNT EDEN PKWYBronx, NY 10457-7703

Mailing Address1276 Fulton AveBronx, NY 10456-3467 · (718) 992-7669

Phone(718) 992-7669

Sole ProprietorYes

Enumeration DateAugust 27, 2024

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1043044746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 009963

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

199 MOUNT EDEN PKWY, Bronx, NY 10457

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas De La Cruz Ms, Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicolas De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bronxcare Health System

0.1 mi

General Practice

1650 GRAND CONCOURSE
Bronx, NY 10457

Reassigned Medicare billing, New York enrollment
795 clinicians in this Medicare group

NPI 1194060418 (718) 901-8918

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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