Individual provider Active NPI

Eva Barbara Erens, M.D.

  • Internal Medicine Physician
  • Upton, NY
National Provider Identifier
1437510120
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
151956 Issued in NY
Practice address
30 Bell Avenue
BLDG 490 Occupational Medicine Clinic, Brookhaven Natio
Upton, NY 11973-5000
Phone
(631) 344-3670
Fax
(631) 344-7366
NPI assigned
Mar 9, 2016
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 151956 NY Primary

Addresses

Primary practice location

30 Bell Avenue
BLDG 490 Occupational Medicine Clinic, Brookhaven Natio
Upton, NY 11973-5000

Mailing address

30 Bell Avenue
BLDG 490 Occupational Medicine Clinic, Brookhaven Natio
Upton, NY 11973-5000
Phone (631) 344-3670

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
151956NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1437510120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BELL AVENUE",
            "address_2": "BLDG 490 OCCUPATIONAL MEDICINE CLINIC, BROOKHAVEN NATIO",
            "city": "UPTON",
            "state": "NY",
            "postal_code": "119735000",
            "telephone_number": "631-344-3670",
            "fax_number": "631-344-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELL AVENUE",
            "address_2": "BLDG 490 OCCUPATIONAL MEDICINE CLINIC, BROOKHAVEN NATIO",
            "city": "UPTON",
            "state": "NY",
            "postal_code": "119735000",
            "telephone_number": "631-344-3670",
            "fax_number": "631-344-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERENS",
        "first_name": "EVA",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "151956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.