Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yanni Eboras Cruz, PA-C

Individual provider Physician Assistant · NPI 1972079440

Yanni Eboras Cruz, PA-C is a Physician Assistant in Freehold, New Jersey. Qualified in 2018, 8 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
8
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

901 W Main St Ste 106
Freehold, NJ 07728-2537
Phone: (732) 308-4202
Fax: (732) 308-4212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1206 W Sherman Ave Bldg 2a, Vineland, NJ 08360-6911 — (856) 696-9933

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00498800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence MA060289 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA004670 (PA)

Record details

NPI number1972079440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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