| Edwin J Custodio, APN | |
|
860 S White Horse Pike, Hammonton, NJ 08037-2018 | |
| (609) 567-0200 | |
| (609) 567-1951 |
| Full Name | Edwin J Custodio |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 860 S White Horse Pike, Hammonton, 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 |
|---|---|---|---|
| 1174318844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ15527500 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Jersey Family Medical Centers, Inc | 0547170763 | 36 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin J Custodio, APN 521 Richard Dr, Millville, NJ 08332-4040 Ph: (856) 285-0841 | Edwin J Custodio, APN 860 S White Horse Pike, Hammonton, NJ 08037-2018 Ph: (609) 567-0200 |
Thomas William Lepre, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Sindoni Ln # A, Hammonton, NJ 08037 Phone: 609-561-8500 | |
Cheyenne Nicole Wright, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S White Horse Pike, Hammonton, NJ 08037 Phone: 609-270-4260 | |
Kelly Grace, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 219 N White Horse Pike, Hammonton, NJ 08037 Phone: 609-652-1000 Fax: 609-441-8178 | |
Omonoyemhen Vivian Imoobe, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Spring Garden Rd, Hammonton, NJ 08037 Phone: 609-561-1700 | |
Ashley Thomas, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 854 S White Horse Pike Unit 4, Hammonton, NJ 08037 Phone: 609-704-0185 Fax: 609-704-0195 | |
Mr. Curt John Carino, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S White Horse Pike, Hammonton, NJ 08037 Phone: 888-694-9996 | |
Nkongho Bakia, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Spring Garden Rd, Hammonton, NJ 08037 Phone: 609-561-1700 |