Active NPI
Rebecca R Evans Fink
- Social Worker
- Teaneck, NJ
National Provider Identifier
1194134585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 050792
- Practice address
- 50 W Lawn Dr
Teaneck, NJ 07666-5612 - Phone
- (201) 833-2527
- NPI assigned
- Aug 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 050792 | NY | Primary |
Addresses
Primary practice location
50 W Lawn Dr
Teaneck, NJ 07666-5612
Mailing address
50 W Lawn Dr
Teaneck, NJ 07666-5612
Phone (201) 833-2527
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050792 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1194134585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W LAWN DR",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665612",
"telephone_number": "201-833-2527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W LAWN DR",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665612",
"telephone_number": "201-833-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS FINK",
"first_name": "REBECCA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "050792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.