NPI
Grace De La Cruz
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2013-06-04
- Last updated
- 2019-05-17
Specialties
Licenses
- License NY
- 016426
- License NJ
- 25MP00304700
Location
- Practice location
- 1255 Raritan Rd Ste F4b
- City
- Clark NJ
- Postal code
- 07066-1200
- Phone
- (848) 206-0072
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Clark, NJ. 559 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.