MR. EDSON JESUS PINEDA A.P.N.
NPI 1417216888
Nurse Practitioner - Adult Health in Bayonne, NJ
About Mr. Edson Jesus Pineda A.p.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDSON JESUS PINEDA A.P.N. (NPI 1417216888) is an individual adult health provider in Bayonne, New Jersey, licensed in New Jersey (26NJ00364500) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Secaucus, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Edson Jesus Pineda A.p.n. 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
2Medicare enrollment records show Edson Pineda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 49 clinicians in this Medicare group
Ewing, NJ 08618
- Reassigned Medicare billing, New Jersey enrollment
- 80 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
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 Edson Pineda's NPI number?
The NPI number for Edson Pineda is 1417216888. It was assigned to this individual provider in the NPPES registry on May 4, 2012.
Where is Edson Pineda located?
Edson Pineda practices at 731 Broadway, Bayonne, NJ 07002. The listed phone number is (551) 258-1964.
What is Edson Pineda's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Edson Pineda enrolled in Medicare?
Yes. Edson Pineda 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 Edson Pineda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edson Pineda reassigns Medicare benefits to 2 organizations: Holy Name Primary Care And Specialty Associates, PC (Teaneck, NJ) and Azz Medical Associates PC (Ewing, 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 Edson Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edson Pineda accept?
Health plans from Ambetter Health and Oscar Health list Edson Pineda 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 Edson Pineda was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Edson Jesus Pineda, A.P.N. · NPI 1417216888
Adult Health physician in Bayonne, New Jersey. Individual provider, active in the CMS NPPES registry since May 4, 2012.
## Identity
- **NPI:** 1417216888 (Entity type: Individual)
- **Enumerated:** May 4, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00364500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 731 BROADWAY, Bayonne, NJ 07002-4783
- **Phone:** (551) 258-1964 · **Fax:** (201) 808-9417
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Holy Name Primary Care And Specialty Associates, PC (NPI 1104256130, Teaneck, NJ); Azz Medical Associates PC (NPI 1699704809, Ewing, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417216888) · Data from the CMS NPPES public registry.