Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Charlene Cruz-Rusielewicz

Individual provider Vascular & Interventional Radiology Physician · NPI 1922639087

Jennifer Charlene Cruz-Rusielewicz is a Physician Assistant in New Hyde Park, New York. Qualified in 2004, 22 years ago. Practices with Bay Shore Medical Healthcare PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2020

Practice location Address checks out

2800 Marcus Ave Ste 110
New Hyde Park, NY 11042-1113
Phone: (516) 622-7485
Fax: (516) 622-6046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 010400 (NY)

Record details

NPI number1922639087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bay Shore Medical Healthcare Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Hyde Park