IDALIA CRUZ M.D.
NPI 1124134770
Psychiatry & Neurology - Child & Adolescent Psychiatry in Brooklyn, NY

Q: What is Idalia Cruz's NPI number?

The NPI number for Idalia Cruz is 1124134770. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Idalia Cruz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Idalia Cruz was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment

28 DEBEVOISE ST STE 5, BROOKLYN, NY 11206(718) 963-4430(646) 398-2794 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Idalia Cruz M.d. NPPES

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

IDALIA CRUZ M.D. (NPI 1124134770) is an individual child & adolescent psychiatry provider in Brooklyn, New York, licensed in New York (172165) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (1981).

NPPES Registry Identity

NPI1124134770

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameIDALIA CRUZCredential: M.D.

Location Address28 DEBEVOISE ST STE 5Brooklyn, NY 11206-4194

Mailing Address145 W 15th St, 2nd FloorNew York, NY 10011-6701 · (212) 924-6324 · Fax (212) 691-5635

Phone(718) 963-4430

Fax(646) 398-2794

Sole ProprietorNo

Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1981

Enumeration DateAugust 23, 2006

Last NPPES UpdateMarch 19, 2019

✔ NPI 1124134770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NY · 172165

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

28 DEBEVOISE ST STE 5, Brooklyn, NY 11206

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Other Identifiers 1

Other040426033250NY · Fidelis Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Idalia Cruz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426225707

PECOS Enrollment IDI20120127000423

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.

Other Providers at the Same Location NPPES 9

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

STEPHANIE DELIANA TOLLI-ABRAHAM MHC

Counselor (Mental Health)