Edson Jesus Pineda, A.P.N.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00364500 Issued in NJ

Practice address

731 Broadway
Bayonne, NJ 07002-4783

Phone

(551) 258-1964

Fax

(201) 808-9417

NPI assigned

May 4, 2012

Last updated

May 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Holy Name Primary Care and Specialty Associates PCGroup PAC ID 4082847447, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

71.59

Promoting interoperability

100

Improvement activities

40

Cost

76.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Azz Medical Associates PC

  • Internal Medicine Physician
  • Ewing, NJ
  • NPI 1699704809
  Medicare reassignment Care Compare group NPD
• Holy Name Primary Care and Specialty Associates, PC

  • Psychiatry Physician
  • Teaneck, NJ
  • NPI 1104256130
  Medicare reassignment Care Compare group
• Optum Medical Care of New Jersey PC

  dba Riverside Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048
  NPD
• Advanced Laparoscopic Associates

  • Specialist
  • Paramus, NJ
  • NPI 1841353737
  NPD (past)

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1417216888",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024783",
            "telephone_number": "551-258-1964",
            "fax_number": "201-808-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Meadowlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942925",
            "country_code": "US",
            "telephone_number": "551-258-1975",
            "fax_number": "201-808-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "EDSON",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "A.P.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00364500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazimierz Pietrus
• Jane Pilanski, RDN
• Ma Christina Pillora
• Marissa Rachel Pine, CCC-SLP
• Pineda Medical Associates LLC
• Veronica Vargas Pineda, DO
• Gwen Pineiro
• Nicole Piskura, RDCS
• Jason Plaksin
• Platinum Dental Group Bayonne, LLC

• Adult Health Nurse Practitioner in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.