Individual provider Active NPI

Jose R Garces

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, NJ
National Provider Identifier
1710466842
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01408400 Issued in NJ
Practice address
52 Newton Sparta Rd
Newton, NJ 07860-2723
Phone
(201) 727-3241
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR19061100 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NJ01408400 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01408400 NJ Primary

Addresses

Primary practice location

52 Newton Sparta Rd
Newton, NJ 07860-2723

Mailing address

17 Davis Rd
Sparta, NJ 07871-3302
Phone (917) 379-1963

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
I20230425002133 NJ Practitioner - Nurse Practitioner 7214392356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revitalizing Remedies LLCGroup PAC ID 4082003157, 5 clinicians

Practice addresses (Care Compare)

52 Newton Sparta Rd
Newton, NJ 07860-2723
Phone (201) 727-3241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR19061100NJMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Services LLC CurrentSince Dec 18, 2022 Accepting new patients
Revitalizing Remedies LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Fiorella Paradisi, LLC Past Accepting new patients

Locations

119 Mountain Ct
Hackettstown, NJ 07840
Phone (201) 727-3241

52 Newton Sparta Rd
Newton, NJ 07860
Phone (201) 727-3241

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1710466842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713302",
            "telephone_number": "917-379-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602723",
            "telephone_number": "201-727-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCES",
        "first_name": "JOSE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR19061100",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01408400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01408400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.