Active NPI
Tanita Evans
- Driver
- Newark, NJ
National Provider Identifier
1801517735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- E95297320053802
- Practice address
- 31 Lehigh Ave
Newark, NJ 07112-2503 - Phone
- (973) 573-8150
- NPI assigned
- Sep 8, 2022
- Last updated
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | E95297320053802 | NJ | Primary |
Addresses
Primary practice location
31 Lehigh Ave
Newark, NJ 07112-2503
Mailing address
31 Lehigh Ave
Newark, NJ 07112-2503
Phone (973) 573-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E95297320053802 | NJ | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colsons Medical Transport | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Newark, NJ
- NPI 1376268912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1801517735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 LEHIGH AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122503",
"telephone_number": "973-573-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 LEHIGH AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122503",
"telephone_number": "973-573-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TANITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NJ",
"license": "E95297320053802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.