Individual provider Active NPI

Mary Evans

  • Social Worker
  • Piscataway, NJ
National Provider Identifier
1730446295
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05633600 Issued in NJ
Practice address
151 Centennial Ave
Piscataway, NJ 08854-3907
Phone
(800) 969-5300
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05633600 NJ Primary

Addresses

Primary practice location

151 Centennial Ave
Piscataway, NJ 08854-3907

Mailing address

671 Hoes LN W
Piscataway, NJ 08854-8021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007004098 PA Practitioner - Clinical Social Worker 9638676521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05633600NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital CurrentSince Jul 20, 2025 Accepting new patients
Good Shepherd Rehabilitation Hospital Current Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince Jul 20, 2025 Accepting new patients

Locations

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

Interoperability endpoints

  • Direct secure messaging: mary.evans.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 3

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1730446295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543907",
            "telephone_number": "800-969-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05633600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.