Individual provider Active NPI

Eddy Garrido, MD

  • Neurological Surgery Physician
  • Sewell, NJ
National Provider Identifier
1194712430
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA09749600 Issued in NJ
Practice address
445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone
(856) 256-7591
Fax
(856) 256-7585
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD019333E PA
Neurological Surgery Physician 207T00000X 25MA09749600 NJ Primary

Addresses

Primary practice location

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337

Mailing address

445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (856) 256-7591

Other identifiers 1

IdentifierTypeStateIssuer
000681404001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110111000146 PA Practitioner - Neurosurgery 7719920305 Reassigns benefits to 2 organizations
I20150909000790 NJ Practitioner - Neurosurgery 7719920305 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09749600NJMDNeurological Surgery Physician
MD019333EPAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Neurological Surgery CurrentSince Sep 1, 2015 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Neurological Surgery CurrentSince Oct 14, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc Neurological Surgery CurrentSince Feb 1, 2023 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 1, 2023 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Neurological Surgery CurrentSince Oct 14, 2023 Accepting new patients
Jefferson University Physicians of New Jersey, P.C. Neurological Surgery CurrentSince Sep 1, 2015 Accepting new patients
Lancaster General Hospital PastSince Apr 30, 2003 Accepting new patients

Locations

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

445 Hurffville Crosskeys Rd
Ste B16
Sewell, NJ 08080
Phone (856) 256-7591

445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

909 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

909 Walnut St
Philadelphia, PA 19107
Phone (215) 503-7008

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1194712430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-256-7591",
            "fax_number": "856-256-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HURFFVILLE CROSSKEYS RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802337",
            "telephone_number": "856-256-7591",
            "fax_number": "856-256-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "EDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD019333E",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA09749600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000681404001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.