NPIMap

Organization Active NPI

Eugene L Evans Jr MD LLC

  • Internal Medicine Physician
  • Livingston, NJ
National Provider Identifier
1326255035
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06972500 Issued in NJ
Legal business name
EUGENE L EVANS JR MD LLC
Practice address
2 West Northfield Road
Suite 211
Livingston, NJ 07039
Phone
(973) 758-0044
Fax
(973) 758-0055
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Eugene Ludwig Evans Jr., MDNPI 1033284930
Title
Physician
Phone
(973) 758-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA06972500 NJ Primary

Addresses

Primary practice location

2 West Northfield Road
Suite 211
Livingston, NJ 07039

Mailing address

2 West Northfield Road
Suite 211
Livingston, NJ 07039
Phone (973) 758-0044

Other identifiers 1

IdentifierTypeStateIssuer
044862WGEOtherNJMEDICARE RENDERING PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1326255035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WEST NORTHFIELD ROAD",
            "address_2": "SUITE 211",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-758-0044",
            "fax_number": "973-758-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WEST NORTHFIELD ROAD",
            "address_2": "SUITE 211",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-758-0044",
            "fax_number": "973-758-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE L EVANS JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "LUDWIG",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-758-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06972500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING PROVIDER NUMBER",
            "identifier": "044862WGE",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.