Nyeesha Garnett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00812000 Issued in NJ

Practice address

617 Broad St
Newark, NJ 07102-4403

Phone

(862) 246-7940

Fax

(862) 246-7941

NPI assigned

Sep 11, 2023

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Am PM Walk in Urgent Care ClinicGroup PAC ID 5092954602, 79 clinicians

Robert Wood Johnson Medical Associates at Hamilton PAGroup PAC ID 6204805419, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nyeesha.garnett.1@2983.direct.athenahealth.com

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.

• Robert Wood Johnson Medical Associates at Hamilton PA

  dba Care Station Medical Group

  • General Practice Physician
  • Linden, NJ
  • NPI 1619206828
  Medicare reassignment Care Compare group NPD
• Summit Medical Group PA

  • Multi-Specialty Clinic/Center
  • Berkeley Heights, NJ
  • NPI 1942254347
  Medicare reassignment Care Compare group NPD
• Am PM Walk in Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1073853859
  Medicare reassignment Care Compare group
• Robert Wood Johnson Medical Associates at Hamilton PA

  dba Care Station Medical Group

  • General Practice Physician
  • Secaucus, NJ
  • NPI 1265012660
  NPD
• Summit Medical Group PA

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1043930555
  NPD
• Summit Medical Group PA

  dba CityMD

  • Durable Medical Equipment & Medical Supplies
  • Newark, NJ
  • NPI 1942921796
  NPD
• Am PM Primary Care

  • Primary Care Clinic/Center
  • Bergenfield, NJ
  • NPI 1083045694
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1386421592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024403",
            "telephone_number": "862-246-7940",
            "fax_number": "862-246-7941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 King St",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "NY",
            "postal_code": "115752042",
            "country_code": "US",
            "telephone_number": "516-425-5829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNETT",
        "first_name": "NYEESHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00812000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius M Gardin, MD
• Alison Anne Gardner, RN
• Taylor Gardner, APN
• Mateo Eduardo Garland Priegnitz, MD
• Carol Angela Garnett
• Kristen Garofalo, AG-ACNP
• Onaisha Garrison
• Marc H Garson, LCSW, MSW, MSM
• Andrew Gart
• Marilyn Elizabeth Gartland

• Medical Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.