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MR. EDSON JESUS PINEDA A.P.N.
NPI 1417216888
Nurse Practitioner - Adult Health in Bayonne, NJ

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
731 BROADWAY, BAYONNE, NJ 07002(551) 258-1964(201) 808-9417 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2026, Nov 12, 2024 (2 updates tracked since 2024).

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

NPI1417216888
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. EDSON JESUS PINEDACredential: A.P.N.
Location Address731 BROADWAYBayonne, NJ 07002-4783
Mailing Address3 University Plz Ste 205Hackensack, NJ 07601-6208
Phone(551) 258-1964
Fax(201) 808-9417
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMay 4, 2012
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1417216888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00364500
731 BROADWAY, Bayonne, NJ 07002
Open in Google Maps ↗

Secondary Practice Location 1

Location 138 Meadowlands PkwySecaucus, NJ 07094-2925 · Phone (551) 258-1975 · Fax (201) 808-9421

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

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.

PECOS PAC ID3870594393
PECOS Enrollment IDI20130307000187
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services27 patients

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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES

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

VERONICA VARGAS PINEDA DO
Family Medicine
731 BROADWAY
BAYONNE, NJ 07002
Hudson County (551) 258-1964

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.

When was this NPI record last updated?

The NPPES record for Edson Pineda was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.