Active NPI
Syvon Evans
- Clinical Medical Laboratory
- Maplewood, NJ
National Provider Identifier
1023818747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724 - Phone
- (862) 230-5469
- NPI assigned
- Mar 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary | ||
| Health Information Specialist/Technologist | 246Y00000X |
Addresses
Primary practice location
2115 Millburn Ave Ste 100
Maplewood, NJ 07040-3724
Mailing address
25420 Kuykendahl Rd Ste B300
The Woodlands, TX 77375-3433
Other practice location 1
25420 Kuykendahl Rd Ste B300
The Woodlands, TX 77375-3433
Phone (833) 363-3258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1023818747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25420 KUYKENDAHL RD STE B300",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773753433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 MILLBURN AVE STE 100",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403724",
"telephone_number": "862-230-5469"
}
],
"practiceLocations": [
{
"address_1": "25420 Kuykendahl Rd Ste B300",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773753433",
"country_code": "US",
"telephone_number": "833-363-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "SYVON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-13",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.