Organization Active NPI

Evolution Medicine

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1659802957
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
263015 Issued in NY
Legal business name
EVOLUTION MEDICINE
Practice address
280 Madison Ave RM 205
New York, NY 10016-0816
Phone
(212) 924-2871
NPI assigned
Mar 27, 2017
Last updated
May 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Authorized official

Name
Dr. Sonya Lazarevic, M.D.NPI 1851606875
Title
President
Phone
(212) 924-2871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 263015 NY Primary
Addiction Psychiatry Physician 2084P0802X 263015 NY

Addresses

Primary practice location

280 Madison Ave RM 205
New York, NY 10016-0816

Mailing address

7 Brush Hill Rd Unit 8853
New Fairfield, CT 06812-7736
Phone (212) 924-2871

National Provider Directory

National Provider Directory

Locations

7 Brush Hill Rd
Unit 8853
New Fairfield, CT 06812

280 Madison Ave
Rm 1202
New York, NY 10016
Phone (212) 924-2871

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651363200000",
    "number": "1659802957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRUSH HILL RD UNIT 8853",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068127736",
            "telephone_number": "212-924-2871",
            "fax_number": "917-382-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "212-924-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A",
        "authorized_official_last_name": "LAZAREVIC",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-924-2871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "263015",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "263015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.