EDGAR GUILLEN FNP-C
NPI 1801603840
Nurse Practitioner - Family in Hackensack, NJ
About Edgar Guillen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGAR GUILLEN FNP-C (NPI 1801603840) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15204900) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Edgar Guillen Fnp-c 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
7Medicare enrollment records show Edgar Guillen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10022
- Reassigned Medicare billing, Florida and Pennsylvania enrollments
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 124 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida, Indiana, New Jersey and New York enrollments
- 89 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Indiana, New York and Pennsylvania enrollments
- 36 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Florida, Indiana, New York and Pennsylvania enrollments
- 115 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
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 Edgar Guillen's NPI number?
The NPI number for Edgar Guillen is 1801603840. It was assigned to this individual provider in the NPPES registry on December 13, 2024.
Where is Edgar Guillen located?
Edgar Guillen practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2000.
What is Edgar Guillen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Edgar Guillen enrolled in Medicare?
Yes. Edgar Guillen 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 Edgar Guillen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Guillen reassigns Medicare benefits to 7 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY), Lumina Care Medical Nj LLC (New York, NY), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and 2 more organizations, 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 Edgar Guillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edgar Guillen accept?
Health plans from Oscar Health list Edgar Guillen 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 Edgar Guillen was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Edgar Guillen, FNP-C · NPI 1801603840
Family physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since December 13, 2024.
## Identity
- **NPI:** 1801603840 (Entity type: Individual)
- **Enumerated:** December 13, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15204900 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2000
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); Lumina Care Medical Nj LLC (NPI 1851118319, New York, NY); Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801603840) · Data from the CMS NPPES public registry.