Active NPI
Everson Davis
- Home Health Registered Nurse
- Short Hills, NJ
National Provider Identifier
1225626351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- HP0303000
- Practice address
- 830 Morris Tpke FL 4
Short Hills, NJ 07078-2625 - Phone
- (862) 270-6714
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | HP0303000 | NJ | Primary |
Addresses
Primary practice location
830 Morris Tpke FL 4
Short Hills, NJ 07078-2625
Mailing address
830 Morris Tpke FL 4
Short Hills, NJ 07078-2625
Phone (862) 270-6714
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@bondoflovecaregivers.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HP0303000 | NJ | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1225626351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 MORRIS TPKE FL 4",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782625",
"telephone_number": "862-270-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 MORRIS TPKE FL 4",
"city": "SHORT HILLS",
"state": "NJ",
"postal_code": "070782625",
"telephone_number": "862-270-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "EVERSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NJ",
"license": "HP0303000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@bondoflovecaregivers.com",
"affiliation": "N",
"address_1": "830 Morris Tpke Fl 4",
"city": "Short Hills",
"state": "NJ",
"country_code": "US",
"postal_code": "070782625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Short Hills, NJ
- Consistent Supports Coordination, LLC
- Cristine J Areola OD
- Jacqueline Crocker, LCSW
- Raymond Frederick Crystal, M.D.
- Daniel Zacharias MD PC
- Dazzle Healthcare LLC
- Rick A Debiasi, DC
- Denise Hooten, RPT,P.a.
- Dermatology Consultants of Millburn (Dermatology Consultants of Morris Plains)
- Maheshwari Mahesh Desai
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.