Individual provider Active NPI

Javier Eirin, APN

  • Acute Care Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1083432207
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ15160200 Issued in NJ
Practice address
8 Delbarton CT
Hackettstown, NJ 07840-4213
Phone
(862) 244-7219
NPI assigned
Sep 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ15160200 NJ Primary

Addresses

Primary practice location

8 Delbarton CT
Hackettstown, NJ 07840-4213

Mailing address

8 Delbarton CT
Hackettstown, NJ 07840-4213
Phone (862) 244-7219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251009001117 CA Practitioner - Nurse Practitioner 9234636820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

1250 S Beverly Glen Blvd
Apt 202
Los Angeles, CA 90024-5221
Phone (310) 270-6181

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15160200NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care CurrentSince Nov 21, 2025 Accepting new patients
East Los Angeles Cardiology Medical Group, Inc. CurrentSince Aug 28, 2025 Accepting new patients

Locations

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

1701 E Cesar E Chavez Ave
Ste 125
Los Angeles, CA 90033
Phone (323) 441-1122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBBACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBBACD/Endpoint/IBBACD

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1083432207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DELBARTON CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404213",
            "telephone_number": "862-244-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DELBARTON CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404213",
            "telephone_number": "862-244-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIRIN",
        "first_name": "JAVIER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ15160200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.