Jeffrey Delacruz

Nurse Practitioner, Family in New Haven, CT. Individual provider (NPI-1).

NPI number1699415489

StatusActive

Last updated in NPPESApr 25, 2022

Details

NPI: 1699415489
Entity type: Individual (NPI-1)
Name: Jeffrey Delacruz
Sex: Male
Sole proprietor: Yes
Enumeration date: Mar 30, 2022
Certification date: Apr 25, 2022
Last updated: Apr 25, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	10507	CT	Yes

Practice location

428 Columbus Ave
New Haven, CT 06519-1233

Phone 203-503-3000

Mailing address

428 Columbus Ave
New Haven, CT 06519-1233

Phone 203-503-3000

Is something wrong?

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Other Family Nurse Practitioner providers in New Haven, CT

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