Evelyn Z Aguasvivas

Individual provider Active NPI Case Manager/Care Coordinator · Paterson, NJ

NPI 1447712468 · NPPES record last updated Apr 3, 2019

Key facts

NPI
1447712468
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
174 Walnut St # 1
Paterson, NJ 07522-1426
Phone
(973) 460-1866
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

174 Walnut St # 1
Paterson, NJ 07522-1426

Mailing address

174 Walnut St # 1
Paterson, NJ 07522-1426
Phone (973) 460-1866

Other providers in Paterson, NJ

All providers in Paterson, NJ · Case Manager/Care Coordinator in New Jersey

Sources for this page

Verify at the official NPI Registry.