Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MISS MONIQUE CRUZ NP
NPI 1619464492
Nurse Practitioner - Family in New York, NY

Active since April 17, 2018PECOS Enrolled
84.47/100
CMS Quality Rating
240 E 38TH ST FL 15, NEW YORK, NY 10016(212) 263-6037(646) 501-7775 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, May 8, 2026, Sep 29, 2021 and 1 more (4 updates tracked since 2018).

About Miss Monique Cruz Np NPPES

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

MISS MONIQUE CRUZ NP (NPI 1619464492) is an individual family provider in New York, New York, licensed in New York (348567) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619464492
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MONIQUE CRUZCredential: NP
Location Address240 E 38TH ST FL 15New York, NY 10016-2708
Mailing Address240 E 38th StNew York, NY 10016-2708 · (212) 263-6037 · Fax (646) 501-7775
Fax(646) 501-7775
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 17, 2018
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1619464492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 348567
240 E 38TH ST FL 15, New York, NY 10016

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

Miss Monique Cruz Np 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 ID7416347075
PECOS Enrollment IDI20211214002039
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 5

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.

Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
129 services126 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.
117 services104 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
79 services79 patients
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.
49 services45 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump 62369
This procedure involves checking and adjusting a small device placed under your skin that delivers medication directly to your spinal canal. The device is reprogrammed as needed and the medicine is refilled to manage your pain effectively.
31 services16 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 17

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

Physical Medicine & Rehabilitation
240 E 38TH ST FL 15
NEW YORK, NY 10016
Psychologist (Clinical)
240 E 38TH ST FL 15
NEW YORK, NY 10016
Physical Medicine & Rehabilitation (Pain Medicine)
240 E 38TH ST FL 15
NEW YORK, NY 10016
Physical Medicine & Rehabilitation
240 E 38TH ST FL 15
NEW YORK, NY 10016
Psychologist
240 E 38TH ST FL 15
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
240 E 38TH ST FL 15
NEW YORK, NY 10016
Clinical Neuropsychologist
240 E 38TH ST FL 15
NEW YORK, NY 10016
Physical Therapist
240 E 38TH ST FL 15
NEW YORK, NY 10016

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 Monique Cruz's NPI number?

The NPI number for Monique Cruz is 1619464492. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Monique Cruz located?

Monique Cruz practices at 240 E 38th St Fl 15, New York, NY 10016. The listed phone number is (212) 263-6037.

What is Monique Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Monique Cruz enrolled in Medicare?

Yes. Monique 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.

Is Monique Cruz affiliated with any hospitals?

According to CMS data, Monique Cruz is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Monique Cruz was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.