Active NPIIndividual provider

Yanni E Cruz, PA-C

Physician Assistant, Surgical in Freehold, New Jersey

NPI Number1972079440
Practice location
901 W Main St Ste 106, Freehold, NJ 07728-2537
Fax
732-308-4212
Last updated
May 17, 2024

Yanni Eboras Cruz is a Physician Assistant, Surgical based in Freehold, NJ. Yanni Eboras Cruz practices in Freehold, NJ and has the professional credentials of PA-C. The NPI Number for Yanni Eboras Cruz is 1972079440 and holds a License No. MA060289 (PA). The current practice location address for Yanni Eboras Cruz is 901 W Main St Ste 106, Freehold, NJ 07728-2537 and can be reached out via phone at 732-308-4202 and via fax at 732-308-4212.

Provider Profile Details

NPI Number
1972079440
Provider Name
Yanni Eboras Cruz
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
901 W Main St Ste 106, Freehold, NJ 07728-2537
Phone Number
732-308-4202
Fax Number
732-308-4212
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2018
Last Update Date
May 17, 2024
Certification Date
May 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 W Main St Ste 106
Freehold, NJ 07728-2537
Zip
07728-2537
Phone Number
732-308-4202
Fax Number
732-308-4212
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6911
City
Boston
State
MA
Zip
02241-6911
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number (1)
MA060289
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
OA004670
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
25MP00498800
License State (3)
NJ
Taxonomy (3)
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yanni E Cruz, PA-C?

The NPI number of Yanni E Cruz, PA-C is 1972079440. It was assigned on October 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Yanni E Cruz, PA-C?

Yanni E Cruz, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in PA under license number MA060289.

Where does Yanni E Cruz, PA-C practice?

The practice location is 901 W Main St Ste 106, Freehold, NJ 07728-2537. The office can be reached at 732-308-4202 (phone) or 732-308-4212 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972079440 directly on the NPPES registry website.

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