SearchNew Jersey101YM0800X

Johnathan Edwards

NPI 1518858463 · on the registry since 2025 · sole proprietor

Practice

Address
18 Carmella Ct
Newark, NJ 07104
Phone
(347) 339-2283

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey