Nicolette Evans, FNP-C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ15203400 Issued in NJ

Practice address

105 Union Ave
Brielle, NJ 08730-1842

Phone

(732) 800-3201

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Joshua D. Wolpert M.D.

  • Medical Specialty Clinic/Center
  • Brielle, NJ
  • NPI 1508322801
  NPD (past)

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1194531418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 CARROLL FOX RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244633",
            "telephone_number": "732-850-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 UNION AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301842",
            "telephone_number": "732-800-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICOLETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ15203400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Kleinfeld, MD, PA
• Robert Warren Deatrick II, D.D.S
• Johannes H Dejong, M.D.
• Patrick F Donnelly, D.M.D.
• DRS Tumas PC
• Ilan Gamburg, D.M.D.
• Meghan Gilly
• Colleen Mary Gunteski, PSY.D.
• Miranda Hanson
• Deirdre Herman, LCSW

• Pediatric Nurse Practitioner in Brielle, NJ
• Providers in Brielle, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.