Active NPI
Cleofe P Evangelista MD PC
- Internal Medicine Physician
- Yardley, PA
National Provider Identifier
1568656155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD034070E
- Legal business name
- CLEOFE P EVANGELISTA MD PC
- Practice address
- 301 Oxford Valley Rd
Suite 403a
Yardley, PA 19067-7706 - Phone
- (215) 321-0580
- Fax
- (215) 321-9098
- NPI assigned
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cleofe P Evangelista, M.D.
- Title
- Physician
- Phone
- (215) 321-0580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MD030470E | PA | |
| Internal Medicine Physician | 207R00000X | MD034070E | PA | Primary |
Addresses
Primary practice location
301 Oxford Valley Rd
Suite 403a
Yardley, PA 19067-7706
Mailing address
301 Oxford Valley Rd
Suite 403a
Yardley, PA 19067-7706
Phone (215) 321-0580
National Provider Directory
National Provider DirectoryLocations
301 Oxford Valley Rd
Ste 403A
Yardley, PA 19067
Phone (215) 321-0580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1568656155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD",
"address_2": "SUITE 403A",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677706",
"telephone_number": "215-321-0580",
"fax_number": "215-321-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD",
"address_2": "SUITE 403A",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677706",
"telephone_number": "215-321-0580",
"fax_number": "215-321-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEOFE P EVANGELISTA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "EVANGELISTA",
"authorized_official_first_name": "CLEOFE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "215-321-0580",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "MD030470E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD034070E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.