Organization Active NPI

Neurophysiologic Interpretive Medicine PLLC

  • Neurology Physician
  • Fairfield, NJ
National Provider Identifier
1316256167
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2565911 Issued in NY
Legal business name
NEUROPHYSIOLOGIC INTERPRETIVE MEDICINE PLLC
Practice address
700 US Highway 46
Suite 420
Fairfield, NJ 07004-1591
Phone
(973) 882-3456
Fax
(973) 882-3450
NPI assigned
Sep 28, 2010
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Marcos J Cruz, M.D.NPI 1265556898
Title
Owner
Phone
(973) 882-3456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2565911 NY Primary

Addresses

Primary practice location

700 US Highway 46
Suite 420
Fairfield, NJ 07004-1591

Mailing address

700 US Highway 46
Suite 420
Fairfield, NJ 07004-1591
Phone (973) 882-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000459 NY Part B Supplier - Clinic/Group Practice 2567617616 Receives reassigned benefits from 12 practitioners
Practice locations: Yonkers, NY; West Islip, NY; Valley Stream, NY; Syosset, NY; Suffern, NY; Smithtown, NY; Riverhead, NY; Port Jefferson, NY…

National Provider Directory

National Provider Directory

Locations

700 US Highway 46
Ste 420
Fairfield, NJ 07004

1 Garret Mountain Plz
Ste 801
Woodland Park, NJ 07424
Phone (973) 345-4111

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1316256167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 46",
            "address_2": "SUITE 420",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041591",
            "telephone_number": "973-882-3456",
            "fax_number": "973-882-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 46",
            "address_2": "SUITE 420",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041591",
            "telephone_number": "973-882-3456",
            "fax_number": "973-882-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPHYSIOLOGIC INTERPRETIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-882-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "2565911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.