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CARMEN M GARMENDIA
NPI 1417678798
Internal Medicine in Passaic, NJ

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
121 PROSPECT ST, PASSAIC, NJ 07055(973) 777-3006(973) 777-5587 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmen M Garmendia NPPES

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

CARMEN M GARMENDIA (NPI 1417678798) is an individual internal medicine provider in Passaic, New Jersey, licensed in New Jersey (26NJ01334300) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417678798
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCARMEN M GARMENDIA
Location Address121 PROSPECT STPassaic, NJ 07055-4989
Mailing Address121 Prospect StPassaic, NJ 07055-4989 · (973) 777-3006 · Fax (973) 777-5587
Phone(973) 777-3006
Fax(973) 777-5587
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1417678798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 26NJ01334300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
121 PROSPECT ST, Passaic, NJ 07055
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Carmen M Garmendia 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 ID941677827
PECOS Enrollment IDI20221107000358
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 Reassignments

6

Medicare enrollment records show Carmen Garmendia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Ward Medical Arts LLC
6.7 mi
Internal Medicine
485-491 MT PROSPECT AVE 1ST FLOOR
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1538790563 (973) 485-6433
Roseville Medical Society LLC
7.4 mi
Internal Medicine
346 ROSEVILLE AVE
Newark, NJ 07107
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 clinicians in this Medicare group
NPI 1275168320 (973) 482-7245
Metropolitan Medical Group LLC
7.6 mi
Internal Medicine
570 PARK AVE
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 46 clinicians in this Medicare group
NPI 1700442415 (862) 766-6608
Salerno Medical Associates, LLC
7.7 mi
Internal Medicine
613 PARK AVE FL 2
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 81 clinicians in this Medicare group
NPI 1184766107 (973) 672-8573
Senior Healthcare Outreach Program
7.7 mi
Geriatric Medicine
613 PARK AVE FL 1
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
NPI 1588707954 (973) 556-0955
Call To Care LLC
7.8 mi
Multi-Specialty
523 PARK AVE
Orange, NJ 07050
  • Reassigned Medicare billing, New Jersey enrollment
  • 35 clinicians in this Medicare group
NPI 1265063846 (862) 229-1516

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 6

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 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.
104 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
27 services27 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
26 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services18 patients
Blood glucose (sugar) level after receiving dose of glucose 82950
This procedure measures your blood sugar level after consuming a glucose drink. It helps to diagnose conditions related to sugar metabolism, like diabetes. You'll drink a sweet liquid, then have your blood drawn after a set time to check glucose levels.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

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

YNES D ACCILIEN APN
Nurse Practitioner (Family)
121 PROSPECT ST
PASSAIC, NJ 07055
Passaic County (973) 777-3006
MEDICAL & SURGICAL FAMILY PRACTICE OF PASSAIC P A
General Practice
121 PROSPECT ST
PASSAIC, NJ 07055
Passaic County (973) 777-3006

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 Carmen Garmendia's NPI number?

The NPI number for Carmen Garmendia is 1417678798. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Carmen Garmendia located?

Carmen Garmendia practices at 121 Prospect St, Passaic, NJ 07055. The listed phone number is (973) 777-3006.

What is Carmen Garmendia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carmen Garmendia enrolled in Medicare?

Yes. Carmen Garmendia 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 Carmen Garmendia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Garmendia reassigns Medicare benefits to 6 organizations: North Ward Medical Arts LLC (Newark, NJ), Roseville Medical Society LLC (Newark, NJ), Metropolitan Medical Group LLC (East Orange, NJ), Salerno Medical Associates, LLC (East Orange, NJ), Senior Healthcare Outreach Program (East Orange, NJ) and 1 more organization, listed in the Medicare section above. 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 Carmen Garmendia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Garmendia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carmen Garmendia 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 Carmen Garmendia was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.