Individual provider Active NPI

Eva Lynn Kucaba, APN

  • Family Medicine Physician
  • Perth Amboy, NJ
National Provider Identifier
1821223199
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00192200 Issued in NJ
Practice address
439 Hamilton Ave
Perth Amboy, NJ 08861-1621
Phone
(732) 293-1436
Fax
(732) 376-6245
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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 26NJ00192200 NJ Primary

Addresses

Primary practice location

439 Hamilton Ave
Perth Amboy, NJ 08861-1621

Mailing address

439 Hamilton Ave
Perth Amboy, NJ 08861-1621
Phone (732) 293-1436

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000046 NJ Practitioner - Nurse Practitioner 4789864257 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Aug 28, 2020 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

1107 Convery Blvd
Perth Amboy, NJ 08861
Phone (732) 442-0037

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1821223199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 HAMILTON AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088611621",
            "telephone_number": "732-293-1436",
            "fax_number": "732-376-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 HAMILTON AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088611621",
            "telephone_number": "732-293-1436",
            "fax_number": "732-376-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCABA",
        "first_name": "EVA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00192200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.