Evolution Health Solutions LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EVOLUTION HEALTH SOLUTIONS LLC

Practice address

2808 Long Beach Rd
Oceanside, NY 11572-2229

Phone

(844) 776-7778

Fax

(302) 689-4826

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Erin Schnepf

Title

Director of Credentialing

Phone

(631) 790-9436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1205407855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SUNRISE HWY STE 211",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722229",
            "telephone_number": "844-776-7778",
            "fax_number": "302-689-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Marcus Ave Ste S20A",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422061",
            "country_code": "US",
            "telephone_number": "631-790-9436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Sunrise Hwy Ste 211",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704912",
            "country_code": "US",
            "telephone_number": "844-776-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLUTION HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHNEPF",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "631-790-9436"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.