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EDISON A JAQUEZ
NPI 1508658998
Counselor - Mental Health in Trenton, NJ

Active since May 21, 2025
4228 S BROAD ST HAMILTON TOWNSHIP NEW JERSEY, TRENTON, NJ 08620(609) 475-2560 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edison A Jaquez NPPES

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

EDISON A JAQUEZ (NPI 1508658998) is an individual mental health provider in Trenton, New Jersey, licensed in New Jersey (37AC00871300) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1508658998
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDISON A JAQUEZ
Location Address4228 S BROAD ST HAMILTON TOWNSHIP NEW JERSEYTrenton, NJ 08620-2105
Mailing Address10 Burgess LnWillingboro, NJ 08046-1638 · (732) 362-1897
Phone(609) 475-2560
Sole ProprietorYes
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1508658998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00871300
4228 S BROAD ST HAMILTON TOWNSHIP NEW JERSEY, Trenton, NJ 08620
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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 Edison Jaquez's NPI number?

The NPI number for Edison Jaquez is 1508658998. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Edison Jaquez located?

Edison Jaquez practices at 4228 S Broad St Hamilton Township New Jersey, Trenton, NJ 08620. The listed phone number is (609) 475-2560.

What is Edison Jaquez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Edison Jaquez was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.