Individual provider Active NPI

Evan Jay, PA-C

  • Physician Assistant
  • Edison, NJ
National Provider Identifier
1366812836
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00378000 Issued in NJ
Practice address
10 Parsonage Rd Ste 208
Edison, NJ 08837-2429
Phone
(732) 906-9600
Fax
(732) 377-0393
NPI assigned
Sep 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00378000 NJ Primary

Addresses

Primary practice location

10 Parsonage Rd Ste 208
Edison, NJ 08837-2429

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

3540 John F Kennedy Blvd
Jersey City, NJ 07307-3450
Phone (732) 906-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evan.jay.1@21449.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000026 NJ Practitioner - Physician Assistant 3476842485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

10 Parsonage Rd
Suite 208
Edison, NJ 08837-2429
Phone (732) 906-9600

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC CurrentSince Jul 15, 2022 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Jul 15, 2022 Accepting new patients
Eoh Acquisition Group, LLC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince May 1, 2023 Accepting new patients
Physician Associates of Northern New Jersey, PC Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

10 Parsonage Rd
Ste 208
Edison, NJ 08837
Phone (732) 688-9083

3540 John F Kennedy Blvd
Jersey City, NJ 07307
Phone (201) 333-2221

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Interoperability endpoints

  • Direct secure messaging: evan.jay.1@21449.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1366812836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD STE 208",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-906-9600",
            "fax_number": "732-377-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3540 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073073450",
            "country_code": "US",
            "telephone_number": "732-906-9600",
            "fax_number": "833-449-3389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAY",
        "first_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00378000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evan.jay.1@21449.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "10 Parsonage Rd Ste 208",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088372429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.