Active NPIIndividual providerSole proprietor

Mr. Edson J Pineda, APN

Nurse Practitioner, Adult Health in Bayonne, New Jersey

NPI Number1417216888
Practice location
731 Broadway, Bayonne, NJ 07002-4783
Fax
201-808-9417
Last updated
May 28, 2026

Edson Jesus Pineda is a Nurse Practitioner, Adult Health based in Bayonne, NJ. Edson Jesus Pineda practices in Bayonne, NJ and has the professional credentials of APN. The NPI Number for Edson Jesus Pineda is 1417216888 and holds a License No. 26NJ00364500 (NJ). The current practice location address for Edson Jesus Pineda is 731 Broadway, Bayonne, NJ 07002-4783 and can be reached out via phone at 551-258-1964 and via fax at 201-808-9417.

Provider Profile Details

NPI Number
1417216888
Provider Name
Edson Jesus Pineda
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
731 Broadway, Bayonne, NJ 07002-4783
Phone Number
551-258-1964
Fax Number
201-808-9417
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2012
Last Update Date
May 28, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
731 Broadway
Bayonne, NJ 07002-4783
Zip
07002-4783
Phone Number
551-258-1964
Fax Number
201-808-9417
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
3 University Plz Ste 205
Hackensack, NJ 07601-6208
City
Hackensack
State
NJ
Zip
07601-6208

License Information

License Number
26NJ00364500
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Adult Health providers near Bayonne, NJ

View all Nurse Practitioner, Adult Health providers in Bayonne →

Frequently Asked Questions

What is the NPI number of Mr. Edson J Pineda, APN?

The NPI number of Mr. Edson J Pineda, APN is 1417216888. It was assigned on May 4, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Edson J Pineda, APN?

Mr. Edson J Pineda, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00364500.

Where does Mr. Edson J Pineda, APN practice?

The practice location is 731 Broadway, Bayonne, NJ 07002-4783. The office can be reached at 551-258-1964 (phone) or 201-808-9417 (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 1417216888 directly on the NPPES registry website.

Browse related providers