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

Rian Cruz

Individual provider Physician Assistant · NPI 1962186973

Rian Cruz is a Physician Assistant in Brentwood, New York. Qualified in 2021, 5 years ago. Practices with Sun River Health Inc, a 242-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2023

Practice location Address checks out

1869 Brentwood Rd
Brentwood, NY 11717-4625
Phone: (631) 416-5480
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962186973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sun River Health Inc. — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brentwood