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

Kenneth Cruz, PA

Individual provider Physician Assistant · NPI 1487698510

Kenneth Cruz, PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3845 10th Ave
New York, NY 10034-1850
Phone: (917) 675-7533
Fax: (917) 675-7558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004711-1 (NY)

Record details

NPI number1487698510
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJune 20, 2019

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