Individual provider Active NPI

Augusto Caesar Cespedes Jr.

  • Family Nurse Practitioner
  • Wall, NJ
National Provider Identifier
1023623642
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01052100 Issued in NJ
Practice address
2621 NJ-138
Wall, NJ 07719
Phone
(908) 907-8541
NPI assigned
Sep 10, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01052100 NJ Primary

Addresses

Primary practice location

2621 NJ-138
Wall, NJ 07719

Mailing address

2621 NJ-138
Wall, NJ 07719
Phone (908) 907-8541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001097 NJ Practitioner - Nurse Practitioner 4082086855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Primary Physicians II LLCGroup PAC ID 1153778667, 7 clinicians

Practice addresses (Care Compare)

1910 Hwy 35
Oakhurst, NJ 07755-2715
Phone (732) 531-4747

196 Jack Martin Blvd
Suite a 2
Brick, NJ 08724-7769
Phone (732) 458-4045

Merit-based Incentive Payment System (MIPS)

Final score
38.17 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
79.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01052100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Family First Primary Physicians II LLC CurrentSince Apr 19, 2025 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

196 Jack Martin Blvd
Ste A2
Brick, NJ 08724
Phone (732) 458-4045

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 242-4000

1910 Highway 35
Oakhurst, NJ 07755
Phone (732) 531-4747

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1023623642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 NJ-138",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "908-907-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 NJ-138",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "908-907-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "AUGUSTO",
        "middle_name": "CAESAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01052100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall, NJ

Sources for this page

Verify at the official NPI Registry.