MR. BRIAN GARCIA APN
NPI 1154165223
Nurse Practitioner - Family in Hackensack, NJ
About Mr. Brian Garcia Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRIAN GARCIA APN (NPI 1154165223) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15091100) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Brian 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.
Medicare Billing Reassignment
Medicare enrollment records show Brian Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 45 clinicians in this Medicare group
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 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brian Garcia's NPI number?
The NPI number for Brian Garcia is 1154165223. It was assigned to this individual provider in the NPPES registry on June 24, 2024.
Where is Brian Garcia located?
Brian Garcia practices at 357 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 305-3555.
What is Brian Garcia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brian Garcia enrolled in Medicare?
Yes. Brian 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 organization bills Medicare for Brian Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Garcia reassigns Medicare benefits to The Heart Center Of The Oranges (East Orange, NJ). The 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 Brian Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Garcia accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Brian 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.
When was this NPI record last updated?
The NPPES record for Brian Garcia was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Brian Garcia, APN · NPI 1154165223
Family physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since June 24, 2024.
## Identity
- **NPI:** 1154165223 (Entity type: Individual)
- **Enumerated:** June 24, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15091100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 357 PROSPECT AVE, Hackensack, NJ 07601-2519
- **Phone:** (551) 305-3555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Heart Center Of The Oranges (NPI 1477532588, East Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154165223) · Data from the CMS NPPES public registry.