Individual provider Active NPI

Nicole Eichman, FNP-C

  • Family Nurse Practitioner
  • Edgewater, NJ
National Provider Identifier
1336801141
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01210300 Issued in NJ
Practice address
968 River Rd FL 2
Edgewater, NJ 07020-2237
Phone
(201) 969-0994
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NR22940900 NJ
Nurse Practitioner 363L00000X 26NJ01210300 NJ
Family Nurse Practitioner 363LF0000X 26NJ01210300 NJ Primary

Addresses

Primary practice location

968 River Rd FL 2
Edgewater, NJ 07020-2237

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208
Phone (201) 833-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neichman@holyname.org Direct

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
I20211215000126 NJ Practitioner - Nurse Practitioner 3274923867 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
Group practices
Holy Name Cardiology Associates, PCGroup PAC ID 5890871651, 7 clinicians

Practice addresses (Care Compare)

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01210300NJMDNurse Practitioner
26NR22940900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Cardiology Associates, PC CurrentSince Jan 1, 2022 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince Dec 6, 2021 Accepting new patients

Locations

968 River Rd
Ste 204
Edgewater, NJ 07020
Phone (201) 217-1224

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

968 River Rd
Fl 2
Edgewater, NJ 07020
Phone (201) 320-1235

3 University Plz
Ste 205
Hackensack, NJ 07601

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

954 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2300

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 4

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": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1336801141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208",
            "telephone_number": "201-833-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIVER RD FL 2",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070202237",
            "telephone_number": "201-969-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHMAN",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR22940900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01210300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01210300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neichman@holyname.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "718 Teaneck Rd",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076664245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.