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MIGUEL ANGEL GARCIA APN
NPI 1033689526
Nurse Practitioner - Adult Health in Suffern, NY

Active since November 28, 2018PECOS EnrolledAccepts Medicare Assignment
8 WAYNE AVE STE 103, SUFFERN, NY 10901(845) 664-8608(646) 466-7645 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Dec 12, 2018, Nov 28, 2018 (3 updates tracked since 2018).

About Miguel Angel Garcia Apn NPPES

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

MIGUEL ANGEL GARCIA APN (NPI 1033689526) is an individual adult health provider in Suffern, New York, licensed in New York (309023) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains a secondary practice location in Paterson.

NPPES Registry Identity

NPI1033689526
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMIGUEL ANGEL GARCIACredential: APN
Location Address8 WAYNE AVE STE 103Suffern, NY 10901-5466
Mailing Address2 Stage StAirmont, NY 10901-4902 · (845) 664-6166
Phone(845) 664-8608
Fax(646) 466-7645
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 28, 2018
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1033689526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309023
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ0088200 (NJ)
8 WAYNE AVE STE 103, Suffern, NY 10901
Open in Google Maps ↗

Secondary Practice Location 1

Location 1703 Main StPaterson, NJ 07503-2621 · Phone (973) 954-3333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Miguel Angel Garcia Apn 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 ID2668712506
PECOS Enrollment IDI20190313000038
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

9

Medicare enrollment records show Miguel Garcia reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Passaic River Physicians, LLC
12 mi
Emergency Medicine
224 HAMBURG TPKE
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1124788807 (973) 942-6900
Passaic Hospitalist Services, LLC
15 mi
Hospitalist
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
NPI 1144903733 (973) 754-2000
Passaic River Observation, LLC
15 mi
Emergency Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 78 clinicians in this Medicare group
NPI 1568113348 (973) 754-2000
St. Joseph's Healthcare, Inc.
15 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
15 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
St. Joseph's Emergency Physicians Inc
15 mi
Emergency Medical Services
703 MAIN ST, EMERGENCY DEPARTMENT
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 88 clinicians in this Medicare group
NPI 1568791192 (973) 754-2000
MD Care Clinic LLC
16 mi
Internal Medicine
1300 MAIN AVE STE 2C
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1659911287 (973) 417-0181
Pioneer Medical Care Group LLC
16 mi
Internal Medicine
1300 MAIN AVE STE 2C
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1083481188 (973) 417-0181
Desjet LLC
16 mi
Personal Emergency Response Attendant
35 ACKERMAN AVENUE
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1346694114 (973) 928-2880

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 7

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 moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
237 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
200 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services45 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
44 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Miguel Garcia's NPI number?

The NPI number for Miguel Garcia is 1033689526. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Miguel Garcia located?

Miguel Garcia practices at 8 Wayne Ave Ste 103, Suffern, NY 10901. The listed phone number is (845) 664-8608.

What is Miguel Garcia's specialty?

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

Is Miguel Garcia enrolled in Medicare?

Yes. Miguel Garcia 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 Miguel Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Garcia reassigns Medicare benefits to 9 organizations: Passaic River Physicians, LLC (Wayne, NJ), Passaic Hospitalist Services, LLC (Paterson, NJ), Passaic River Observation, LLC (Paterson, NJ), St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and 4 more organizations, listed in the Medicare section above. 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 Miguel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Garcia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Miguel Garcia 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.

Is Miguel Garcia affiliated with any hospitals?

According to CMS data, Miguel Garcia is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Miguel Garcia was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.