Active NPI
Jernier Edwards
- Addiction Medicine (Preventive Medicine) Physician
- Edison, NJ
National Provider Identifier
1952257495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 25MA08065400
- Practice address
- 2177 Oak Tree Rd Ste 206
Edison, NJ 08820-1082 - Phone
- (848) 372-5930
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 25MA08065400 | NJ | Primary |
Addresses
Primary practice location
2177 Oak Tree Rd Ste 206
Edison, NJ 08820-1082
Mailing address
5422 Barleycorn Dr
Richmond, VA 23227-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08065400 | NJ | MD | Addiction Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1952257495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5422 BARLEYCORN DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232272559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD STE 206",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "848-372-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JERNIER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NJ",
"license": "25MA08065400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.