NPIMap

Organization Active NPI

Osvaldo J Evangelista,PC

  • Psychiatry Physician
  • Flushing, NY
National Provider Identifier
1831489046
Registry record updated Apr 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
128544 Issued in NY
Legal business name
OSVALDO J EVANGELISTA,PC
Practice address
14031 Oak Ave
Flushing, NY 11355-3558
Phone
(718) 939-3755
Fax
(718) 939-3755
NPI assigned
Apr 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2011

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

Authorized official

Name
Dr. Osvaldo Jose Evangelista, M.D.
Title
President
Phone
(718) 939-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 128544 NY Primary

Addresses

Primary practice location

14031 Oak Ave
Flushing, NY 11355-3558

Mailing address

14031 Oak Ave
Flushing, NY 11355-3558
Phone (718) 939-3755

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302393600000",
    "number": "1831489046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553558",
            "telephone_number": "718-939-3755",
            "fax_number": "718-939-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 OAK AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553558",
            "telephone_number": "718-939-3755",
            "fax_number": "718-939-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSVALDO J EVANGELISTA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-10",
        "last_updated": "2011-04-10",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-939-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "128544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2011; 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.