Active NPI
Eva Barbara Erens, M.D.
- Internal Medicine Physician
- Upton, NY
National Provider Identifier
1437510120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 151956
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 151956 | NY | MD | Internal 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.