1. Home
  2. Directory
  3. New Jersey
  4. Hammonton
  5. Nurse Practitioner
  6. NPI Profile

EDWIN J CUSTODIO APN
NPI 1174318844
Nurse Practitioner - Family in Hammonton, NJ

Active since April 11, 2025PECOS EnrolledAccepts Medicare Assignment
860 S WHITE HORSE PIKE, HAMMONTON, NJ 08037(609) 567-0200(609) 567-1951 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2026, Apr 11, 2025 (2 updates tracked since 2025).

About Edwin J Custodio Apn NPPES

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

EDWIN J CUSTODIO APN (NPI 1174318844) is an individual family provider in Hammonton, New Jersey, licensed in New Jersey (26NJ15527500) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174318844
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDWIN J CUSTODIOCredential: APN
Location Address860 S WHITE HORSE PIKEHammonton, NJ 08037-2018
Mailing Address521 Richard DrMillville, NJ 08332-4040 · (856) 285-0841
Phone(609) 567-0200
Fax(609) 567-1951
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 11, 2025
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1174318844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15527500
860 S WHITE HORSE PIKE, Hammonton, NJ 08037
Open in Google Maps ↗

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

Edwin J Custodio 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 ID2668942723
PECOS Enrollment IDI20260529001190
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 Reassignment

Medicare enrollment records show Edwin Custodio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Jersey Family Medical Centers, Inc
Same address
Federally Qualified Health Center (FQHC)
860 S WHITE HORSE PIKE BLDG A
Hammonton, NJ 08037
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1568473973 (609) 567-0200

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 08037 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICKY LIM DDS
Dentist (General Practice)
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 561-9150
DR. LISA DIANE URBAN MD
Pediatrics
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
KARINA RAMIREZ LCSW
Social Worker (Clinical)
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
MARIA C MOLINA M.D.
Pediatrics (Adolescent Medicine)
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
ALINA BEJARAN
Physician Assistant (Medical)
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
DR. RODNEY CAPIRO M.D.
Obstetrics & Gynecology
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
JUAN BEJARAN MD
Internal Medicine
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200
DR. MONIQUE HIGGINBOTHAM MD
Pediatrics
860 S WHITE HORSE PIKE
HAMMONTON, NJ 08037
Atlantic County (609) 567-0200

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 Edwin Custodio's NPI number?

The NPI number for Edwin Custodio is 1174318844. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Edwin Custodio located?

Edwin Custodio practices at 860 S White Horse Pike, Hammonton, NJ 08037. The listed phone number is (609) 567-0200.

What is Edwin Custodio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edwin Custodio enrolled in Medicare?

Yes. Edwin Custodio 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 Edwin Custodio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Custodio reassigns Medicare benefits to Southern Jersey Family Medical Centers, Inc (Hammonton, 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 Edwin Custodio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Custodio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Edwin Custodio 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 Edwin Custodio was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.