Individual Healthcare Provider
Edson Jesus Pineda, A.P.N.
Provider's NPPES record last updated: May 28, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1417216888
- Primary Specialty
- Nurse Practitioner — Adult Health
- Practice Location
- Bayonne, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:26 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ00364500
Practice Locations
Practice Location
731 Broadway
Bayonne, New Jersey 07002-4783
Phone: (551) 258-1964
Additional Practice Location
38 Meadowlands Pkwy
Secaucus, New Jersey 07094-2925
Phone: (551) 258-1975
Fax: (201) 808-9421
Record Information
- Enumeration Date
- May 4, 2012
- Provider's NPPES Record Last Updated
- May 28, 2026
- Certification Date
- May 28, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue