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KENNETH CRUZ P.A.
NPI 1487698510
Physician Assistant in New York, NY

Active since June 16, 2006PECOS Enrolled
3845 10TH AVE, NEW YORK, NY 10034(917) 675-7533(917) 675-7558 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Cruz P.a. NPPES

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

KENNETH CRUZ P.A. (NPI 1487698510) is an individual physician assistant in New York, New York, licensed in New York (004711-1) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487698510
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH CRUZCredential: P.A.
Location Address3845 10TH AVENew York, NY 10034-1850
Mailing Address3845 10th AveNew York, NY 10034-1850 · (917) 675-7533 · Fax (917) 675-7558
Phone(917) 675-7533
Fax(917) 675-7558
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 20, 2019
✔ NPI 1487698510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004711-1
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.
3845 10TH AVE, New York, NY 10034
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Cruz P.a. 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 10034 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 3

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

MISS MONICA DETOMAS MSN, FNP-BC, RN
Nurse Practitioner (Family)
3845 10TH AVE
NEW YORK, NY 10034
New York County (917) 675-7533
DR. MILIVOJE MILOSEVIC MD
Obstetrics & Gynecology (Obstetrics)
3845 10TH AVE
NEW YORK, NY 10034
New York County (463) 441-7156
DR. FREDERICK CLARE M.D.
Obstetrics & Gynecology
3845 10TH AVE
NEW YORK, NY 10034
New York County (914) 393-3068

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 Kenneth Cruz's NPI number?

The NPI number for Kenneth Cruz is 1487698510. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kenneth Cruz located?

Kenneth Cruz practices at 3845 10th Ave, New York, NY 10034. The listed phone number is (917) 675-7533.

What is Kenneth Cruz's specialty?

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

Is Kenneth Cruz enrolled in Medicare?

Yes. Kenneth Cruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Cruz was last updated on June 20, 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.