Individual provider Active NPI

Estefany Caceres Jimenez, FNP-C

  • Family Nurse Practitioner
  • Plainfield, NJ
National Provider Identifier
1063238939
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15201000 Issued in NJ
Practice address
1024 Park Ave Ste 6a
Plainfield, NJ 07060-3015
Phone
(908) 222-8400
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 26NJ15201000 NJ Primary

Addresses

Primary practice location

1024 Park Ave Ste 6a
Plainfield, NJ 07060-3015

Mailing address

350 Madison GDNS
Old Bridge, NJ 08857-2820
Phone (848) 466-5799

Other practice location 1

1120 US Highway 9
Old Bridge, NJ 08857-2860
Phone (732) 200-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15201000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inman Medical Associates,LLC CurrentSince Dec 1, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Jan 1, 2025 Accepting new patients
DRX Paramus, LLC PastSince Dec 17, 2023 Accepting new patients

Locations

1024 Park Ave
Ste 6A
Plainfield, NJ 07060
Phone (908) 222-8400

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1063238939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MADISON GDNS",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572820",
            "telephone_number": "848-466-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 PARK AVE STE 6A",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603015",
            "telephone_number": "908-222-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088572860",
            "country_code": "US",
            "telephone_number": "732-200-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACERES JIMENEZ",
        "first_name": "ESTEFANY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15201000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.