DR. JONATHAN CRUZ (MD) – Family Medicine Physician, NPI 1366191900

DR. JONATHAN CRUZ (MD) is a healthcare provider. based in Stratford, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME165098 (FL). The NPI Number for DR. JONATHAN CRUZ (MD) is 1366191900

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN CRUZ (MD)
NPI
1366191900
Phone
(203) 583-5869
Address
149 LINCOLN ST
Enumeration Date
21 March 2022
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
8886636331
Graduation Year
2022 (4 years ago)
PAC ID
0143738922
Group Practice PAC ID
3870405301
Professional Enrollment ID
I20250804000552
Address ID
FL331802314AV19505BLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. JONATHAN CRUZ (MD)

  • 149 LINCOLN ST

    STRATFORD, CT 066144048

    Phone: (203) 583-5869

    Type: Mailing

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone: (305) 243-2951

    Type: Location

  • 19505 BISCAYNE BLVD STE 2180

    AVENTURA, FL 331803644

    Phone: (203) 583-5869

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250804000552IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405301View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Physician AssistantNY
Family PracticeFL
Family PracticeWI
Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. JONATHAN CRUZ (MD)?
The registry entry for DR. JONATHAN CRUZ (MD) shows NPI 1366191900.
Quick check: is DR. JONATHAN CRUZ (MD) active?
Public NPPES data shows DR. JONATHAN CRUZ (MD) with an active NPI status right now.
What services align with DR. JONATHAN CRUZ (MD)'s listing?
DR. JONATHAN CRUZ (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JONATHAN CRUZ (MD)?
The directory associates DR. JONATHAN CRUZ (MD) with Stratford, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export DR. JONATHAN CRUZ (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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