GRACE DE LA CRUZ PA-C
NPI 1053759738
Physician Assistant in Clark, NJ

Active since June 04, 2013PECOS Enrolled
1255 RARITAN RD STE F4B, CLARK, NJ 07066(848) 206-0072 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2019, Dec 29, 2015 (2 updates tracked since 2015).

About Grace De La Cruz Pa-c NPPES

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

GRACE DE LA CRUZ PA-C (NPI 1053759738) is an individual physician assistant in Clark, New Jersey, licensed in New Jersey (25MP00304700) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Union.

NPPES Registry Identity

NPI1053759738
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE DE LA CRUZCredential: PA-C
Location Address1255 RARITAN RD STE F4BClark, NJ 07066-1200
Mailing Address1345 Rxr PlzUniondale, NY 11556-1301 · (516) 453-0435
Sole ProprietorNo
Enumeration DateJune 4, 2013
Last NPPES UpdateMay 17, 20192 updates tracked since enumeration
NPI 1053759738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NJ · 25MP00304700 Licensed in NY · 016426
Definition

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.

1255 RARITAN RD STE F4B, Clark, NJ 07066

Secondary Practice Location 1

Location 11000 Galloping Hill RdUnion, NJ 07083-7989 · Phone (908) 522-6300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace De La Cruz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1255 RARITAN RD STE F4B
CLARK, NJ 07066
Emergency Medicine
1255 RARITAN RD STE F4B
CLARK, NJ 07066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace De La Cruz's NPI number?

The NPI number for Grace De La Cruz is 1053759738. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Grace De La Cruz located?

Grace De La Cruz practices at 1255 Raritan Rd Ste F4b, Clark, NJ 07066. The listed phone number is (848) 206-0072.

What is Grace De La Cruz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grace De La Cruz enrolled in Medicare?

Yes. Grace De La Cruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace De La Cruz was last updated on May 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.