Evan Jaep, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Pomona, NJ
NPI 1669901377 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1669901377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 26NR16114800 (NJ)
- Practice address
- 65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102 - Phone
- (609) 652-1000
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanticare Regional Medical Center
Practice addresses (Care Compare)
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000
Hospital & facility affiliations
- Atlanticare Regional Medical Center - City Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.93 of 100
- Quality
- 75.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180920000550 | NJ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052675691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16114800 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Current |
Accepting new patients | |
| Atlanticare Regional Medical Center | Current |
Accepting new patients |
Locations
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR16114800 | NJ | Yes |
Addresses
Primary practice location
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Mailing address
12 Stafford PL
Sicklerville, NJ 08081-3028
Other providers in Pomona, NJ
- Edgardo B Holgado
- Howard Slotoroff MD PA
- Nicholas Joseph Incandela
- Anthony Frederick Ivy
- Jacqueline a. Robinson, P.C.
- Jacqueline Jankowsky
- Eva Johannesen
- Christina M Johnson
- Charles Kaczmarski
- Jacqueline A Kelsch-Robinson
All providers in Pomona, NJ · Certified Registered Nurse Anesthetist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.