Individual ProviderJasper PecheraNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 Paterson St Ste 3300, New Brunswick, NJ 08901-1962(732) 235-7960PECOS EnrollmentBased on the most recent information from CMS, provider Jasper Pechera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1891460614Provider TypeIndividualFull NamePechera, JasperCredentialRN, APN, NP-CGenderMaleSole ProprietorNoEnumeration Date8/13/2021Last Updated12/13/2021Contact InformationPractice LocationPractice Address125 Paterson St Ste 3300, New Brunswick, NJ 08901-1962Phone(732) 235-7960FaxUnlisted FaxMailing LocationMailing Address125 Paterson St Ste 3300, New Brunswick, NJ 08901-1962Phone(732) 235-7960Fax(732) 235-6042Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ01196900New JerseyCode163WC0200XDescriptionRegistered NurseNursing Service ProvidersLicense26NR12388600New Jersey