Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Idalissie Altagracia Peguero, APN, PMHNPBC

Individual provider Nurse Practitioner · NPI 1689154437

MS. Idalissie Altagracia Peguero, APN, PMHNPBC is a Nurse Practitioner in Newark, New Jersey. Qualified in 2023, 3 years ago. Practices with Jls Medical PC, a 54-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Address checks out

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone: (201) 822-1161
Fax: (877) 485-8918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 606 Broadway, Paterson, NJ 07514-1916 — (973) 523-4000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00838200 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00838200 (NJ)

Record details

NPI number1689154437
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , PMHNPBC
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jls Medical Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $759 30 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Jls Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 54 clinicians in the practice; 12 are shown here.

Other providers in Newark