Individual provider Active NPI

Elizabeth Doi Evans, D.O.

  • Family Medicine Physician
  • New Brunswick, NJ
National Provider Identifier
1710322730
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09885200 Issued in NJ
Practice address
317 George St
New Brunswick, NJ 08901-2008
Phone
(732) 235-8993
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09885200 NJ Primary

Addresses

Primary practice location

317 George St
New Brunswick, NJ 08901-2008

Mailing address

317 George St
New Brunswick, NJ 08901-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000285 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Obstetrics/Gynecology 1850525973 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roseville Medical Society LLCGroup PAC ID 3072939255, 15 clinicians
Call to Care LLCGroup PAC ID 0547699514, 8 clinicians
Metropolitan Medical Group LLCGroup PAC ID 1759716590, 10 clinicians
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

346 Roseville Ave
Newark, NJ 07107-1722
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050-1703
Phone (973) 672-8573

570 Park Ave
East Orange, NJ 07017-1904
Phone (973) 672-2455

613 Park Ave
FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Medical Society LLC CurrentSince Apr 17, 2020 Accepting new patients
Senior Healthcare Outreach Program CurrentSince Aug 1, 2016 Accepting new patients
North Ward Medical Arts LLC CurrentSince Mar 7, 2020 Accepting new patients
Newark Vein and Vascular Center LLC CurrentSince Jun 1, 2020 Accepting new patients
Metropolitan Medical Group LLC Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Salerno Medical Associates, LLC CurrentSince Aug 1, 2016 Accepting new patients
Call to Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Clara Maass Medical Center Past Accepting new patients
Eoh Acquisition Group, LLC Past Accepting new patients
University Hospital Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

613 Park Ave
Fl 1
East Orange, NJ 07017
Phone (973) 556-0955

485 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 639-7546

485 Mount Prospect Ave
Fl 1
Newark, NJ 07104
Phone (973) 485-6433

346 Roseville Ave
Newark, NJ 07107
Phone (973) 482-7245

523 Park Ave
Orange, NJ 07050
Phone (862) 229-1516

523 Park Ave
Ste B
Orange, NJ 07050
Phone (862) 229-1516

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13207/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1710322730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-235-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ELIZABETH",
        "middle_name": "DOI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09885200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.