Eterra Health PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ETERRA HEALTH PC

Practice address

158 Linwood PLZ Ste 307
Fort Lee, NJ 07024-3761

Phone

(848) 305-9934

Fax

(432) 277-8130

NPI assigned

Oct 1, 2025

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyerim Jeon, PMHNPNPI 1699326009

Title

Owner

Phone

(347) 403-4254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyerim Jeon, NP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1699326009

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1699649806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E EDSALL AVE # 1",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501420",
            "telephone_number": "848-305-9934",
            "fax_number": "432-277-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LINWOOD PLZ STE 307",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243761",
            "telephone_number": "848-305-9934",
            "fax_number": "432-277-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERRA HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "HYERIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-403-4254",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equilibrium, LLC
• Marggy Escorcia
• Stephen R Esker, PHARMD
• Daniel Eskinazi
• Esther Geffner Mental Health Counselor PC
• Evergreen Acupuncture
• Excel Orthopedic Rehab (Excel Orthopedic Rehabilitation)
• Exclusive Care, Inc.
• Ahmed M Fahmy, M.D.
• Family Home Care Agency Inc.

• Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.