Evs Health Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EVS HEALTH SERVICES LLC

Practice address

15 Ebony St
Staten Island, NY 10306-1922

Phone

(480) 427-1430

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Edna AurelusNPI 1023302502

Title

Associate Professor

Phone

(480) 427-1430

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edna Aurelus

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1023302502

  Psychiatry

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1649947250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EBONY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EBONY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061922",
            "telephone_number": "480-427-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "AURELUS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR",
        "authorized_official_telephone_number": "480-427-1430",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edna.aurelus@wagner.edu",
            "affiliation": "N",
            "address_1": "15 Ebony St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103061922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edna.aurelus@wagner.edu",
            "affiliation": "N",
            "address_1": "15 Ebony St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103061922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mariya Evsevich, R.N
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• Excel Therapy Corp
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• Psychiatry Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.