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DR. MARIAWY RIOLLANO CRUZ M.D.
NPI 1609253079
Pediatrics in Neptune, NJ

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
JSUMC 19 DAVIS AVE, HOPE TOWER NEPTUNE, NJ 07753, NEPTUNE, NJ 07753(732) 776-4271 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Aug 3, 2021, Jul 9, 2021 (3 updates tracked since 2021).

About Dr. Mariawy Riollano Cruz M.d. NPPES

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

DR. MARIAWY RIOLLANO CRUZ M.D. (NPI 1609253079) is an individual pediatrics provider in Neptune, New Jersey, licensed in New Jersey (25MA11088500) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1609253079
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARIAWY RIOLLANO CRUZCredential: M.D.
Location AddressJSUMC 19 DAVIS AVE, HOPE TOWER NEPTUNE, NJ 07753Neptune, NJ 07753
Mailing AddressJsumc 19 Davis Ave, Hope TowerNeptune, NJ 07753
Phone(732) 776-4271
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1609253079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA11088500
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 25MA11088500 (NJ)
JSUMC 19 DAVIS AVE, HOPE TOWER NEPTUNE, NJ 07753, Neptune, NJ 07753
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariawy Riollano Cruz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668716945
PECOS Enrollment IDI20250410001754
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

3

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

Hackensack Meridian Health Medical Group - Complex Care PC
9.2 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
9.2 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Boston Children's Health Physicians, LLP
62 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

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 07753 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.

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 Mariawy Riollano Cruz's NPI number?

The NPI number for Mariawy Riollano Cruz is 1609253079. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Mariawy Riollano Cruz located?

Mariawy Riollano Cruz practices at Jsumc 19 Davis Ave, Hope Tower Neptune, Nj 07753, Neptune, NJ 07753. The listed phone number is (732) 776-4271.

What is Mariawy Riollano Cruz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mariawy Riollano Cruz enrolled in Medicare?

Yes. Mariawy Riollano Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mariawy Riollano Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariawy Riollano Cruz reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each 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 Mariawy Riollano Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariawy Riollano Cruz accept?

Health plans from Oscar Health list Mariawy Riollano Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariawy Riollano Cruz was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.