Individual provider Active NPI

Esteban Carlos Guevara, APN

  • Primary Care Nurse Practitioner
  • Woodland Park, NJ
National Provider Identifier
1457078750
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01387400 Issued in NJ
Practice address
13 Rose PL
Woodland Park, NJ 07424-2602
Phone
(973) 955-8424
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01387400 NJ Primary

Addresses

Primary practice location

13 Rose PL
Woodland Park, NJ 07424-2602

Mailing address

13 Rose PL
Woodland Park, NJ 07424-2602
Phone (973) 955-8424

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
I20230213000443 NJ Practitioner - Nurse Practitioner 5294107678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians
Affiliated Primary Care Associates IIGroup PAC ID 4385128131, 15 clinicians

Practice addresses (Care Compare)

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Primary Care CurrentSince Feb 2, 2023 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 10, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Primary Care CurrentSince Aug 1, 2025 Accepting new patients
Patient Care Medical Group PC CurrentSince Sep 1, 2025 Accepting new patients
Affiliated Primary Care Associates II CurrentSince Feb 5, 2026 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1457078750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROSE PL",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242602",
            "telephone_number": "973-955-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 ROSE PL",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242602",
            "telephone_number": "973-955-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "ESTEBAN",
        "middle_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01387400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

Verify at the official NPI Registry.