EDWARD MACHARIA APN
NPI 1366110900
Nurse Practitioner - Acute Care in New Brunswick, NJ
About Edward Macharia Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD MACHARIA APN (NPI 1366110900) is an individual acute care provider in New Brunswick, New Jersey, licensed in New Jersey (26NJ01137100) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2020).
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
Edward Macharia 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 Reassignments
3Medicare enrollment records show Edward Macharia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 259 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Wood Johnson University Hospital
Acute Care Hospitals · New Brunswick, NJRobert Wood Johnson University Hospital - Somerset
Acute Care Hospitals · Somerville, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08901 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
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 Edward Macharia's NPI number?
The NPI number for Edward Macharia is 1366110900. It was assigned to this individual provider in the NPPES registry on August 30, 2021.
Where is Edward Macharia located?
Edward Macharia practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.
What is Edward Macharia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Edward Macharia enrolled in Medicare?
Yes. Edward Macharia 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 Edward Macharia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Macharia reassigns Medicare benefits to 3 organizations: Robert Wood Johnson Medical Associates (New Brunswick, NJ), Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Edward Macharia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Macharia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Edward Macharia 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 Edward Macharia affiliated with any hospitals?
According to CMS data, Edward Macharia is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.
When was this NPI record last updated?
The NPPES record for Edward Macharia was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Edward Macharia, APN · NPI 1366110900
Acute Care physician in New Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since August 30, 2021.
## Identity
- **NPI:** 1366110900 (Entity type: Individual)
- **Enumerated:** August 30, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 26NJ01137100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901-1966
- **Phone:** (732) 828-3000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Robert Wood Johnson Medical Associates (NPI 1902848625, New Brunswick, NJ); Rutgers Health-Rwj Neurosurgery Faculty (NPI 1659406957, New Brunswick, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366110900) · Data from the CMS NPPES public registry.