Individual provider Active NPI

Evelyn Dudziec

  • Health Educator
  • Newton, NJ
National Provider Identifier
1306396072
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
B.A. ED/SP. ED. ENDR Issued in NJ
Practice address
899 Meadowbrook Rd
Newton, NJ 07860-4549
Phone
(973) 383-3221
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X B.A. ED/SP. ED. ENDR NJ Primary

Addresses

Primary practice location

899 Meadowbrook Rd
Newton, NJ 07860-4549

Mailing address

PO Box 96
Newton, NJ 07860-0096
Phone (973) 383-3221

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

LicenseStateTypeSpecialty
B.A. ED/SP. ED. ENDRNJMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1306396072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078600096",
            "telephone_number": "973-383-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MEADOWBROOK RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078604549",
            "telephone_number": "973-383-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZIEC",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NJ",
            "license": "B.A. ED/SP. ED. ENDR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.