Edgar Guillen, FNP-C
NPI 1801603840ActiveIndividual· Nurse Practitioner, Family· Hackensack, NJ
Nurse Practitioner, Family (FNP-C) with Daniel Funsch Jr MD PC and 2 other groups, practicing in Hackensack, New Jersey. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1801603840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Dec 13, 2024 |
| Last updated in NPPES | Dec 13, 2024 |
| Certified by provider | Dec 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 26NJ15204900 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL); Practitioner - Nurse Practitioner (IN); Practitioner - Nurse Practitioner (NJ); Practitioner - Nurse Practitioner (NY); Practitioner - Nurse Practitioner (PA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Daniel Funsch Jr MD PCSarasota, FL · 156 clinicians
- Ivy Medical Group PLLCHurricane, WV · 118 clinicians
- Lumina Care Medical Nj LLCCedar Grove, NJ · 65 clinicians
Other facilities
- Cranbury CenterNursing home · Monroe Township, NJ
- Lopatcong CenterNursing home · Phillipsburg, NJ
- Maple Glen CenterNursing home · Fairlawn, NJ
- Millville CenterNursing home · Millville, NJ
- Southern Ocean CenterNursing home · Manahawkin, NJ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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