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MERLE CORREA CRUZ-ENCARNACION M.D.
NPI 1043295579
Internal Medicine - Cardiovascular Disease in Jersey City, NJ

Active since December 07, 2005PECOS Enrolled
201 SAINT PAULS AVE, SUITE 1D, JERSEY CITY, NJ 07306(201) 653-7533(201) 653-7960 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Merle Correa Cruz-encarnacion M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERLE CORREA CRUZ-ENCARNACION M.D. (NPI 1043295579) is an individual cardiovascular disease provider in Jersey City, New Jersey, licensed in New Jersey (MA044053) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043295579
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMERLE CORREA CRUZ-ENCARNACIONCredential: M.D.
Location Address201 SAINT PAULS AVE, SUITE 1DJersey City, NJ 07306-3724
Mailing Address201 Saint Pauls Ave, Suite 1dJersey City, NJ 07306-3724 · (201) 653-7533 · Fax (201) 653-7960
Phone(201) 653-7533
Fax(201) 653-7960
Sole ProprietorYes
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043295579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · MA044053
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
201 SAINT PAULS AVE, Jersey City, NJ 07306
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Other Identifiers 3

Medicare UPINC55788NJ
Medicaid2067609NJ
Medicare ID-Type Unspecified456162NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Merle Correa Cruz-encarnacion M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Merle Cruz-encarnacion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Garden State Healthcare Associates, LLC
5.5 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL CARE LLC
Clinic/Center (Primary Care)
201 SAINT PAULS AVE, SUITE 1D
JERSEY CITY, NJ 07306
Hudson County (201) 656-7400
KENNETH BROWN APN
Nurse Practitioner (Adult Health)
201 SAINT PAULS AVE, 17J
JERSEY CITY, NJ 07306
Hudson County (201) 469-6373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Merle Cruz-encarnacion's NPI number?

The NPI number for Merle Cruz-encarnacion is 1043295579. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Merle Cruz-encarnacion located?

Merle Cruz-encarnacion practices at 201 Saint Pauls Ave Suite 1D, Jersey City, NJ 07306. The listed phone number is (201) 653-7533.

What is Merle Cruz-encarnacion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Merle Cruz-encarnacion enrolled in Medicare?

Yes. Merle Cruz-encarnacion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Merle Cruz-encarnacion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Merle Cruz-encarnacion reassigns Medicare benefits to Garden State Healthcare Associates, LLC (Bayonne, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Merle Cruz-encarnacion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Merle Cruz-encarnacion was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.