MARILOU CRUZ APN
NPI 1235672916
Nurse Practitioner - Adult Health in Lakewood, NJ

Q: What is Marilou Cruz's NPI number?

The NPI number for Marilou Cruz is 1235672916. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Q: What is Marilou Cruz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Marilou Cruz was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 29, 2016PECOS Enrolled

685 RIVER AVE, SUITE 3, LAKEWOOD, NJ 08701(732) 987-3855(732) 282-7200 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Marilou Cruz Apn NPPES

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

MARILOU CRUZ APN (NPI 1235672916) is an individual adult health provider in Lakewood, New Jersey, licensed in New Jersey (26NJ00676900) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235672916

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARILOU CRUZCredential: APN

Location Address685 RIVER AVE, SUITE 3Lakewood, NJ 08701-5288

Mailing Address685 River Ave, Suite 3Lakewood, NJ 08701-5288 · (732) 987-3855

Phone(732) 987-3855

Fax(732) 282-7200

Sole ProprietorYes

Enumeration DateNovember 29, 2016

✔ NPI 1235672916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00676900

685 RIVER AVE, Lakewood, NJ 08701

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilou Cruz Apn 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 Reassignments

Medicare enrollment records show Marilou Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Health Medical New Jersey PC

2.0 mi

Family Medicine

101 CHASE AVE STE 105
Lakewood, NJ 08701

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Simon Fensterszaub Do Nj PC
28 clinicians in this Medicare group

NPI 1417681008 (212) 201-1252

Botox And Family Associates LLC

7.3 mi

Geriatric Medicine

20 HOSPITAL DR
Toms River, NJ 08755

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1235614744 (732) 341-9900

Ocean Family & Geriatric Associates LLC

7.3 mi

Internal Medicine

20 HOSPITAL DRIVE SUITE 3
Toms River, NJ 08753

Reassigned Medicare billing, New Jersey enrollment
15 clinicians in this Medicare group

NPI 1740321645 (732) 341-9900

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

273 services273 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

240 services237 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

240 services237 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

113 services113 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

113 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

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 20

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

PEREL M SCHIFF KELLER

Speech-Language Pathologist