Active NPI
Robert William Evers, RRA
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1851097299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R000249-01
- Practice address
- 1305 York Ave FL 3
New York, NY 10021-5663 - Phone
- (646) 962-5026
- NPI assigned
- Feb 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R000249-01 | NY | Primary |
Addresses
Primary practice location
1305 York Ave FL 3
New York, NY 10021-5663
Mailing address
3514 Surf Avenue
W-14-J
Brooklyn, NY 11224
Phone (240) 549-4589
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 |
|---|---|---|---|
| R000249-01 | NY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1851097299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 SURF AVENUE",
"address_2": "W-14-J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11224",
"telephone_number": "240-549-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERS",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "R000249-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.