Individual provider Active NPI

Merle Correa Cruz-Encarnacion, M.D.

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1043295579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA044053 Issued in NJ
Practice address
201 Saint Pauls Ave
Suite 1D
Jersey City, NJ 07306-3724
Phone
(201) 653-7533
Fax
(201) 653-7960
NPI assigned
Dec 7, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA044053 NJ Primary

Addresses

Primary practice location

201 Saint Pauls Ave
Suite 1D
Jersey City, NJ 07306-3724

Mailing address

201 Saint Pauls Ave
Suite 1D
Jersey City, NJ 07306-3724
Phone (201) 653-7533

Other identifiers 1

IdentifierTypeStateIssuer
2067609MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000758 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769412493 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA044053NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince May 22, 2012 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Hudson Internal Medicine of Jersey City Past Accepting new patients
Total Care LLC Past Accepting new patients
St. Mary Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

Interoperability endpoints

  • Direct secure messaging: merle.cruzencarnacion@direct.christhospital.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043295579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE",
            "address_2": "SUITE 1D",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063724",
            "telephone_number": "201-653-7533",
            "fax_number": "201-653-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT PAULS AVE",
            "address_2": "SUITE 1D",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063724",
            "telephone_number": "201-653-7533",
            "fax_number": "201-653-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ENCARNACION",
        "first_name": "MERLE",
        "middle_name": "CORREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA044053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2067609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.