Jeddie Andrada Garcia, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01136800 Issued in NJ

Practice address

11 Hatakawana Ter
Budd Lake, NJ 07828-3450

Phone

(973) 978-0174

NPI assigned

May 14, 2021

Sex

Female

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Medical Providers LLCGroup PAC ID 3971973702, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Main Street Medical Providers LLC

  • Internal Medicine Physician
  • Parsippany, NJ
  • NPI 1790497444
  Medicare reassignment Care Compare group
• Essex County Weightloss, LLC

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1649723743
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1457925364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HATAKAWANA TER",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283450",
            "telephone_number": "973-978-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HATAKAWANA TER",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078283450",
            "telephone_number": "973-978-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JEDDIE",
        "middle_name": "ANDRADA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01136800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flowonix Medical, Inc
• Freedom Services - LWT L.L.C.
• Ra-Janee Fuller
• Functional Chiropractic LLC
• Amber Gall
• Jessica Mindy Hauck, MA, NCC, LPC, ATR-BC
• Eileen Sarah Heanue-Bogue, ANP
• Rodrigo Hernandez-Ramirez
• Diana M Hoyos
• Valentina Hoyos

• Family Nurse Practitioner in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.