| Edgar Guillen, FNP-C | |
|
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
| (551) 996-2000 | |
| Not Available |
| Full Name | Edgar Guillen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801603840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15204900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ocean Center | Manahawkin, NJ | Nursing home |
| Millville Center | Millville, NJ | Nursing home |
| Lopatcong Center | Phillipsburg, NJ | Nursing home |
| Cranbury Center | Monroe township, NJ | Nursing home |
| Maple Glen Center | Fairlawn, NJ | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Ivy Medical Group Pllc | 4981097797 | 120 |
| Daniel Funsch Jr Md Pc | 1951801836 | 139 |
| Lumina Care Medical Nj Llc | 6608305156 | 60 |
| Entity Name | Ivy Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20241227001555 |
| Entity Name | Daniel Funsch Jr, M.D., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316784580 PECOS PAC ID: 1951801836 Enrollment ID: O20251002004171 |
| Entity Name | Dr Rebman Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669276689 PECOS PAC ID: 3678087400 Enrollment ID: O20251213000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Guillen, FNP-C 206 Orient Way, Lyndhurst, NJ 07071-1616 Ph: Not Available | Edgar Guillen, FNP-C 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2000 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave Bldg Pc218, Hackensack, NJ 07601 Phone: 551-996-5362 |
Mrs. Lauren Anne Carucci, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Michael Anthony Williams-healy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Polifly Rd, Hackensack, NJ 07601 Phone: 201-343-6360 |
Alexandra Schulsinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Summit Ave, Hackensack, NJ 07601 Phone: 201-342-0066 |
Breeana Dickson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 University Plz Ste 204, Hackensack, NJ 07601 Phone: 973-435-9463 |
Ms. Lauren Mary Canciani, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |
Ms. Elizabth Anne Bilotti, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave, The Cancer Center At Hackensack University Medical Ctr., Hackensack, NJ 07601 Phone: 201-996-5900 |