Edison A Jaquez
Counselor, Mental Health in Trenton, New Jersey
1508658998- Practice location
- 4228 S Broad St Hamilton Township New Jersey, Trenton, NJ 08620-2105
- Phone
- 609-475-2560
- Fax
- —
- Last updated
- May 21, 2025
Edison A Jaquez is a Counselor, Mental Health based in Trenton, NJ. Edison A Jaquez practices in Trenton, NJ. The NPI Number for Edison A Jaquez is 1508658998 and holds a License No. 37AC00871300 (NJ). The current practice location address for Edison A Jaquez is 4228 S Broad St Hamilton Township New Jersey, Trenton, NJ 08620-2105 and can be reached out via phone at 609-475-2560.
Provider Profile Details
- NPI Number
- 1508658998
- Provider Name
- Edison A Jaquez
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4228 S Broad St Hamilton Township New Jersey, Trenton, NJ 08620-2105
- Phone Number
- 609-475-2560
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 21, 2025
- Last Update Date
- May 21, 2025
- Certification Date
- May 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4228 S Broad St Hamilton Township New Jersey
Trenton, NJ 08620-2105 - City
- Trenton
- State
- New Jersey
- Zip
- 08620-2105
- Phone Number
- 609-475-2560
Provider Business Mailing Address Details
- Address
- 10 Burgess Ln
Willingboro, NJ 08046-1638 - City
- Willingboro
- State
- NJ
- Zip
- 08046-1638
- Phone Number
- 732-362-1897
License Information
- License Number
- 37AC00871300
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edison A Jaquez?
The NPI number of Edison A Jaquez is 1508658998. It was assigned on May 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Edison A Jaquez?
Edison A Jaquez is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00871300.
Where does Edison A Jaquez practice?
The practice location is 4228 S Broad St Hamilton Township New Jersey, Trenton, NJ 08620-2105. The office can be reached at 609-475-2560 (phone).
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 1508658998 directly on the NPPES registry website.