Sara Evangelista, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01204100 Issued in NJ

Practice address

386 Valley Rd
West Orange, NJ 07052-5303

Phone

(424) 378-0451

NPI assigned

Sep 25, 2021

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

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1326719683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BROAD ST APT 2106",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013070",
            "telephone_number": "424-378-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525303",
            "telephone_number": "424-378-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E Broad St Apt 2106",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013070",
            "country_code": "US",
            "telephone_number": "424-378-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "SARA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01204100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johny Eugene, FNLP
• Patricia Desroches Eugene, FNLP
• Callie Regina Evanchick, PT,DPT
• Michael Evangelist, MSPT
• Kathleen Siobhan Evangelista, MS OTR/L
• Excel Therapeutics, LLC
• Exelixis ABA Therapy and Behavior Consulting LLC
• Expressive Minds Therapy LLC
• Eyecare 20/20- West Orange PA
• Richard Wayne Eytel, DMD

• All providers in West Orange, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.