1. Home
  2. Directory
  3. New Jersey
  4. Newton
  5. Nurse Practitioner
  6. NPI Profile

JOSE R GARCES
NPI 1710466842
Nurse Practitioner - Psychiatric/Mental Health in Newton, NJ

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
52 NEWTON SPARTA RD, NEWTON, NJ 07860(201) 727-3241 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Aug 9, 2018 (2 updates tracked since 2018).

About Jose R Garces NPPES

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

JOSE R GARCES (NPI 1710466842) is an individual psychiatric/mental health provider in Newton, New Jersey, licensed in New Jersey (26NJ01408400) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710466842
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSE R GARCES
Location Address52 NEWTON SPARTA RDNewton, NJ 07860-2723
Mailing Address17 Davis RdSparta, NJ 07871-3302 · (917) 379-1963
Phone(201) 727-3241
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2018
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1710466842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01408400
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 26NR19061100 (NJ), 26NJ01408400 (NJ)
52 NEWTON SPARTA RD, Newton, NJ 07860
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Jose R Garces 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 ID7214392356
PECOS Enrollment IDI20230425002133
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 3

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
126 services11 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.
79 services26 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
37 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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.

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.

ABIGAIL MACE LMSW
Social Worker
52 NEWTON SPARTA RD
NEWTON, NJ 07860
Sussex County (201) 885-6422
MRS. CHRISTINE MORALES MS, LPC
Counselor (Professional)
52 NEWTON SPARTA RD
NEWTON, NJ 07860
Sussex County (973) 222-1112

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 Jose Garces's NPI number?

The NPI number for Jose Garces is 1710466842. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Jose Garces located?

Jose Garces practices at 52 Newton Sparta Rd, Newton, NJ 07860. The listed phone number is (201) 727-3241.

What is Jose Garces's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jose Garces enrolled in Medicare?

Yes. Jose Garces 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.

What insurance does Jose Garces accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jose Garces 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 Jose Garces was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.