NYEESHA GARNETT PA-C
NPI 1386421592
Physician Assistant - Medical in Newark, NJ

Active since September 11, 2023PECOS EnrolledAccepts Medicare Assignment
617 BROAD ST, NEWARK, NJ 07102(862) 246-7940(862) 246-7941 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nyeesha Garnett Pa-c NPPES

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

NYEESHA GARNETT PA-C (NPI 1386421592) is an individual medical provider in Newark, New Jersey, licensed in New Jersey (25MP00812000) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roosevelt, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386421592
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNYEESHA GARNETTCredential: PA-C
Location Address617 BROAD STNewark, NJ 07102-4403
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(862) 246-7941
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 11, 2023
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1386421592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00812000
Also ListedPhysician AssistantTaxonomy 363A00000X
617 BROAD ST, Newark, NJ 07102

Secondary Practice Location 1

Location 162 King StRoosevelt, NY 11575-2042 · Phone (516) 425-5829

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nyeesha Garnett Pa-c 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 ID7517492663
PECOS Enrollment IDI20241126001318
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.

Other Providers at the Same Location NPPES 12

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

Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Family Medicine
617 BROAD ST
NEWARK, NJ 07102
Family Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102
Physician Assistant (Medical)
617 BROAD ST
NEWARK, NJ 07102
Emergency Medicine
617 BROAD ST
NEWARK, NJ 07102

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 Nyeesha Garnett's NPI number?

The NPI number for Nyeesha Garnett is 1386421592. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Nyeesha Garnett located?

Nyeesha Garnett practices at 617 Broad St, Newark, NJ 07102. The listed phone number is (862) 246-7940.

What is Nyeesha Garnett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nyeesha Garnett enrolled in Medicare?

Yes. Nyeesha Garnett 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.

When was this NPI record last updated?

The NPPES record for Nyeesha Garnett was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.