Edwin J Custodio, APN
Nurse Practitioner, Family in Hammonton, New Jersey
1174318844- Practice location
- 860 S White Horse Pike, Hammonton, NJ 08037-2018
- Phone
- 609-567-0200
- Fax
- 609-567-1951
- Last updated
- April 28, 2026
Edwin J Custodio is a Nurse Practitioner, Family based in Hammonton, NJ. Edwin J Custodio practices in Hammonton, NJ and has the professional credentials of APN. The NPI Number for Edwin J Custodio is 1174318844 and holds a License No. 26NJ15527500 (NJ). The current practice location address for Edwin J Custodio is 860 S White Horse Pike, Hammonton, NJ 08037-2018 and can be reached out via phone at 609-567-0200 and via fax at 609-567-1951.
Provider Profile Details
- NPI Number
- 1174318844
- Provider Name
- Edwin J Custodio
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 860 S White Horse Pike, Hammonton, NJ 08037-2018
- Phone Number
- 609-567-0200
- Fax Number
- 609-567-1951
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2025
- Last Update Date
- April 28, 2026
- Certification Date
- April 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 860 S White Horse Pike
Hammonton, NJ 08037-2018 - City
- Hammonton
- State
- New Jersey
- Zip
- 08037-2018
- Phone Number
- 609-567-0200
- Fax Number
- 609-567-1951
Provider Business Mailing Address Details
- Address
- 521 Richard Dr
Millville, NJ 08332-4040 - City
- Millville
- State
- NJ
- Zip
- 08332-4040
- Phone Number
- 856-285-0841
License Information
- License Number
- 26NJ15527500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Hammonton, NJ
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- Kelly Grace, CRNPNurse Practitioner, Family · NPI 1083443824
- Margaret C EvansNurse Practitioner, Family · NPI 1578433702
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Frequently Asked Questions
What is the NPI number of Edwin J Custodio, APN?
The NPI number of Edwin J Custodio, APN is 1174318844. It was assigned on April 11, 2025 and is currently active in the NPPES registry.
What is the specialty of Edwin J Custodio, APN?
Edwin J Custodio, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15527500.
Where does Edwin J Custodio, APN practice?
The practice location is 860 S White Horse Pike, Hammonton, NJ 08037-2018. The office can be reached at 609-567-0200 (phone) or 609-567-1951 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174318844 directly on the NPPES registry website.