Ileana Ortiz-Evans, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA68294 Issued in NJ

Practice address

1205 US Route 22
Phillipsburg, NJ 08865

Phone

(908) 213-2211

Fax

(908) 213-9913

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rutgers New Jersey Medical School, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
• St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clinton, NJ
  • NPI 1811931504
  Medicare reassignment Care Compare group NPD
• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  NPD
• Angelo del Priore DPM

  • Foot Surgery Podiatrist
  • Morristown, NJ
  • NPI 1366627028
  NPD (past)
• Kaleidoscope Medical Associates, PA

  • Family Medicine Physician
  • Phillipsburg, NJ
  • NPI 1356377105
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  Care Compare affiliation
• St. Luke'S Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1053301499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758952",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758952",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 US ROUTE 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-213-2211",
            "fax_number": "908-213-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149M Highway 31",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088225739",
            "country_code": "US",
            "telephone_number": "908-782-7700",
            "fax_number": "908-782-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Old Route 22",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NJ",
            "postal_code": "08809",
            "country_code": "US",
            "telephone_number": "908-730-6363",
            "fax_number": "908-730-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ-EVANS",
        "first_name": "ILEANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071288L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA68294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8313407",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PA",
            "identifier": "119772",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open Arms Personal Care
• Open MRI of Warren LLC
• Optimum Anesthesia Care, LLC
• Rebecca Orbine, LAC
• Orthopedic Associates of the Greater Lehigh Valley
• Jennifer Oseguera-Burgin, LAC
• Michael Osei-Fosu
• Richard Mark Ostrosky, LSW
• Ajiro Oghene Osunsanya
• Oswayo Management Inc

• Family Medicine Physician in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.