Active NPI
Robert Evans, D.C.
- Chiropractor
- Paterson, NJ
National Provider Identifier
1629284195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00221500
- Practice address
- 726 Market St
Paterson, NJ 07513-1235 - Phone
- (973) 742-1177
- Fax
- (973) 742-6031
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00221500 | NJ | Primary |
Addresses
Primary practice location
726 Market St
Paterson, NJ 07513-1235
Mailing address
726 Market Street
Paterson, NJ 07513-1235
Phone (973) 742-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3314901 | Medicaid | NJ |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1629284195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 MARKET STREET",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075131235",
"telephone_number": "973-742-1177",
"fax_number": "973-742-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 MARKET ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075131235",
"telephone_number": "973-742-1177",
"fax_number": "973-742-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ROBERT",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00221500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3314901",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.