Evander Duck Jr., M.D.,M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA060290 Issued in NJ

Practice address

495 Iron Bridge Rd
Suite 7
Freehold, NJ 07728-3069

Phone

(732) 780-8477

Fax

(732) 780-2979

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberty Anesthesia, PC

  • Anesthesiology Physician
  • Freehold, NJ
  • NPI 1548214075
  NPD (past)
• Ronald Minzter, MD PC

  • Specialist
  • Freehold, NJ
  • NPI 1750472171
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1679673636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHIRA LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE 7",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283069",
            "telephone_number": "732-780-8477",
            "fax_number": "732-780-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCK",
        "first_name": "EVANDER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA060290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Eisenberg of Freehold PA
• DRS Epstein Elkin and Sargiss Orthodontic Associates (Brace Place)
• DRS. Belich & Torregrossa
• Drug Fair Group, Inc. (Drug Fair of Freehold)
• Drug Fair of Freehold
• June Duck, M.D.
• Kimberly Dudas, ANPC
• Krista Marie Duerr, M.ED, BCBA
• Robert J Dugo, D.C.
• Pamela Duke, ANPC

• Specialist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.