DR. WILFREDO TOMAS CORREA CRUZ


Address: 201 Saint Pauls Ave Apt 1d, Jersey City, NJ 07306-3708
Phone: 2016567400

DR. WILFREDO TOMAS CORREA CRUZ (NPI# 1730116211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730116211
Entity Type Individual
Full Name DR. WILFREDO TOMAS CORREA CRUZ
Credential MD
Practice Address 201 Saint Pauls Ave Apt 1d
Jersey City
NJ 07306-3708
Mailing Address 328 Ridge St
Newark
NJ 07104-1311
Practice Telephone 2016567400
Practice Fax Number 2016537960
Mailing Telephone 9738669612
Mailing Fax Number 2016537960
Enumeration Date 2006-06-28
Last Update Date 2018-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 25MA07690500 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0026212 05

Office Location

Street Address 201 SAINT PAULS AVE APT 1D
City JERSEY CITY
State NJ
Zip Code 07306-3708

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225655186 Hazem Shokry Mohamed Abdelhafez Physical Therapist 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 2020-06-26
1407498223 Shweta Sitaram Shenoy Physical Therapist 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 2019-10-14
1932679909 Morgan Teeratananon Occupational Therapist 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 2018-12-03
1255824892 Best Home Care Inc Home Health 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 2018-06-08
1518455203 New Jersey Weight Loss & Surgery PC Surgery 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 2018-04-27
1225546922 Chungmoo Huh Acupuncturist 720 Bergen Ave, Jersey City, NJ 07306 2018-01-16
1215451042 Walgreen Co Durable Medical Equipment & Medical Supplies 2859 61 Kennedy Blvd, Jersey City, NJ 07306 2017-08-02
1447789128 Krishna Shah Physical Therapist 43 Central Avenue, Jersey City, NJ 07306 2017-06-07
1275075749 Jersey City Home Care Home Health 780 Newark Avenue Suite #203, Jersey City, NJ 07306 2016-11-15
1356752380 Dina Ibrahim Podiatrist 550 Newark Ave Ste 307, Jersey City, NJ 07306 2014-05-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275191629 Paladina Health, LLC Family Medicine 631 Grand St Ste 2-500, Jersey City, NJ 07304-3451 2019-05-31
1124512389 Dr Inna Riva Professional Corporation Family Medicine 206 Washington St Ste A, Jersey City, NJ 07302-4557 2018-06-20
1407368442 Sanitas Medical Center of New Jersey PC Family Medicine 350 Montgomery St, Jersey City, NJ 07302-4041 2017-10-31
1669826053 Titilola Olayemi Oloyede Family Medicine 30 Montgomery St Fl 14, Jersey City, NJ 07302-3829 2016-04-21
1548654130 Mallik Patel Family Medicine 600 Pavonia Ave Ste 5-03, Jersey City, NJ 07306-2929 2015-03-23
1013327345 Inna Riva Family Medicine 206 Warren St Apt 301, Jersey City, NJ 07302-4448 2014-05-08
1508168709 Bayfront Medical Associates, LLC Family Medicine 1809 John F Kennedy Blvd, Ground Floor, Jersey City, NJ 07305-2184 2010-11-22
1346554110 Jim Nguyen Family Medicine 70 Greene St, Apt 3603, Jersey City, NJ 07302-7587 2010-08-03
1154518181 Jasvendar Singh Nandra Family Medicine 2690 John F Kennedy Blvd, Jersey City, NJ 07306-5804 2007-10-03
1891863676 Sun C. Tzeng Family Medicine 172 Martin Luther King Jr Dr, Jersey City, NJ 07305-3309 2006-12-01
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Competitor

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City JERSEY CITY
Zip Code 07306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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