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MR. ERNEST DE LA CRUZ MD
NPI 1821075334
Internal Medicine in Princeton, NJ

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
727 STATE RD, SUITE 1, PRINCETON, NJ 08540(609) 921-6410(609) 921-0406 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ernest De La Cruz Md NPPES

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

MR. ERNEST DE LA CRUZ MD (NPI 1821075334) is an individual internal medicine provider in Princeton, New Jersey, licensed in New Jersey (25MA06294300) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1994).

NPPES Registry Identity

NPI1821075334
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ERNEST DE LA CRUZCredential: MD
Location Address727 STATE RD, SUITE 1Princeton, NJ 08540-1444
Mailing AddressPo Box 416457Boston, MA 02241-6457
Phone(609) 921-6410
Fax(609) 921-0406
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1994
Enumeration DateDecember 27, 2005
Last NPPES UpdateNovember 21, 2016
✔ NPI 1821075334 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 · 25MA06294300
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.
727 STATE RD, Princeton, NJ 08540
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Other Identifiers 1

Medicare UPING51453NJ

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

Mr. Ernest De La Cruz Md 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 ID5193774867
PECOS Enrollment IDI20050620000198
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 11

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.
553 services343 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
221 services192 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
202 services202 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.
155 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
115 services114 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
58 services58 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims39 services$5.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims44 services$1.87 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier15 claims15 services$13.58 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier15 claims15 services$38.81 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$17.45 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. LAURA HILDEBRANT D.O.
Internal Medicine
727 STATE RD, SUITE 1
PRINCETON, NJ 08540
Mercer County (609) 921-6410
VICKIE HUG MD
Internal Medicine
727 STATE RD, SUITE 1
PRINCETON, NJ 08540
Mercer County (609) 921-6410
NANCI MULHOLLAND LEVINE
Nurse Anesthetist, Certified Registered
727 STATE RD
PRINCETON, NJ 08540
Mercer County (609) 924-8131
ORTHONJ LLC
Durable Medical Equipment & Medical Supplies
727 STATE RD
PRINCETON, NJ 08540
Mercer County (609) 924-8131
DOUGLAS P CORAZZA MD
Internal Medicine
727 STATE RD, SUITE 1
PRINCETON, NJ 08540
Mercer County (609) 921-6410
ALAN NEWMAN OTR/L
Occupational Therapist (Hand)
727 STATE RD
PRINCETON, NJ 08540
Mercer County (609) 924-8131
CHRISTINE DELUCA NP
Nurse Practitioner
727 STATE RD
PRINCETON, NJ 08540
Mercer County (609) 921-6410
LAURIE A SCISCENTE
Physical Therapist
727 STATE RD
PRINCETON, NJ 08540
Mercer County (609) 924-8131

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 Ernest De La Cruz's NPI number?

The NPI number for Ernest De La Cruz is 1821075334. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Ernest De La Cruz located?

Ernest De La Cruz practices at 727 State Rd Suite 1, Princeton, NJ 08540. The listed phone number is (609) 921-6410.

What is Ernest De La Cruz's specialty?

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

Is Ernest De La Cruz enrolled in Medicare?

Yes. Ernest 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 Ernest De La Cruz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ernest 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 Ernest De La Cruz affiliated with any hospitals?

According to CMS data, Ernest De La Cruz is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital At Hamilton and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Ernest De La Cruz was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.