STEPHEN JOHN CRUZ
NPI 1316659147
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since December 26, 2022PECOS Enrolled

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2025, Dec 26, 2022 (2 updates tracked since 2022).

About Stephen John Cruz NPPES

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

STEPHEN JOHN CRUZ (NPI 1316659147) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316659147
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN JOHN CRUZ
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address13317 Rodin StBakersfield, CA 93314-6920 · (323) 683-2522
Sole ProprietorNo
Enumeration DateDecember 26, 2022
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
NPI 1316659147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 FRUIT ST, Boston, MA 02114

Other Names 1

Other Name (5)John Cruz

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen John Cruz 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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
55 FRUIT ST, WARREN 1220
BOSTON, MA 02114
Internal Medicine (Gastroenterology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine
55 FRUIT ST, 4710B
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, BUL 119
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
55 FRUIT ST, MGH, BULFINCH 2
BOSTON, MA 02114
Urology
55 FRUIT ST, GRB 1102
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, CLN 3
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316659147, enumerated as an "individual" on December 26, 2022.

The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 726-2000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.