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DR. ALLAN LOUIE ESPINO CRUZ M.D.
NPI 1730477555
Internal Medicine - Hematology & Oncology in Jersey City, NJ

Active since July 13, 2011PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
414 GRAND ST STE 9-13, JERSEY CITY, NJ 07302(201) 915-2730 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Aug 16, 2021, Oct 17, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Allan Louie Espino Cruz M.d. NPPES

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

DR. ALLAN LOUIE ESPINO CRUZ M.D. (NPI 1730477555) is an individual hematology & oncology provider in Jersey City, New Jersey, licensed in New Jersey (25MA1157700) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and maintains a secondary practice location in Brewer.

NPPES Registry Identity

NPI1730477555
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ALLAN LOUIE ESPINO CRUZCredential: M.D.
Location Address414 GRAND ST STE 9-13Jersey City, NJ 07302-4240
Mailing Address414 Grand St Ste 9-13Jersey City, NJ 07302-4240 · (201) 915-2730
Phone(201) 915-2730
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 13, 2011
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1730477555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in NJ · 25MA1157700✔ Licensed in ME · MD21400
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 25MA1157700 (NJ)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 25MA1157700 (NJ)
414 GRAND ST STE 9-13, Jersey City, NJ 07302
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Secondary Practice Location 1

Location 133 Whiting Hill Rd Ste 21Brewer, ME 04412-1022 · Phone (207) 973-7478 · Fax (207) 973-7807

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. Allan Louie Espino 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 ID6305110222
PECOS Enrollment IDI20211130001235
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.

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.
141 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier15 claims15 services$18.32 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims15 services$35.64 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier15 claims150 services$1.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Allan Louie Cruz's NPI number?

The NPI number for Allan Louie Cruz is 1730477555. It was assigned to this individual provider in the NPPES registry on July 13, 2011.

Where is Allan Louie Cruz located?

Allan Louie Cruz practices at 414 Grand St Ste 9-13, Jersey City, NJ 07302. The listed phone number is (201) 915-2730.

What is Allan Louie Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Allan Louie Cruz enrolled in Medicare?

Yes. Allan Louie 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 Allan Louie Cruz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Allan Louie 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 Allan Louie Cruz affiliated with any hospitals?

According to CMS data, Allan Louie Cruz is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Allan Louie Cruz was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.