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DR. FLAVIA A. DE LA CRUZ M.D.
NPI 1538390950
Internal Medicine in Jersey City, NJ

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
2 JOURNAL SQUARE PLZ STE 2, JERSEY CITY, NJ 07306(201) 963-7000 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Flavia A. De La Cruz M.d. NPPES

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

DR. FLAVIA A. DE LA CRUZ M.D. (NPI 1538390950) is an individual internal medicine provider in Jersey City, New Jersey, licensed in New Jersey (25MA08833900) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538390950
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. FLAVIA A. DE LA CRUZCredential: M.D.
Location Address2 JOURNAL SQUARE PLZ STE 2Jersey City, NJ 07306-4001
Mailing Address48 Verbickas DrWoodland Park, NJ 07424-3720 · (973) 483-6800 · Fax (973) 776-1166
Phone(201) 963-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 3, 2009
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1538390950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08833900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 JOURNAL SQUARE PLZ STE 2, Jersey City, NJ 07306
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Secondary Practice Locations 3

Location 148 Verbickas DrWoodland Park, NJ 07424-3720 · Phone (973) 483-6800 ext. 174 · Fax (973) 776-1166
Location 2587 Westminster Ave OfcElizabeth, NJ 07208-2206 · Phone (908) 858-5088
Location 365 Jay StNewark, NJ 07103-3235 · Phone (973) 483-6800 ext. 174 · Fax (973) 776-1166

Other Identifiers 1

Medicaid0309826NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Flavia A. De La 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 ID1759564321
PECOS Enrollment IDI20110321000515
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services45 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
41 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services23 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
31 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

AMMAR HAIKAL MD
Internal Medicine (Rheumatology)
2 JOURNAL SQUARE PLZ STE 2
JERSEY CITY, NJ 07306
Hudson County (201) 963-7000
TETYANA POLISHCHUK ANP
Nurse Practitioner (Family)
2 JOURNAL SQUARE PLZ STE 2
JERSEY CITY, NJ 07306
Hudson County (551) 325-2442
EUNBI PARK
Nurse Practitioner (Gerontology)
2 JOURNAL SQUARE PLZ STE 2
JERSEY CITY, NJ 07306
Hudson County (551) 325-2662

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 Flavia De La Cruz's NPI number?

The NPI number for Flavia De La Cruz is 1538390950. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Flavia De La Cruz located?

Flavia De La Cruz practices at 2 Journal Square Plz Ste 2, Jersey City, NJ 07306. The listed phone number is (201) 963-7000.

What is Flavia De La Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Flavia De La Cruz enrolled in Medicare?

Yes. Flavia De La Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Flavia De La Cruz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Flavia De La Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Flavia De La Cruz affiliated with any hospitals?

According to CMS data, Flavia De La Cruz is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Flavia De La Cruz was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.