Everly Provider Group NJ, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EVERLY PROVIDER GROUP NJ, PC

Practice address

5209 Burnet Rd
Austin, TX 78756-2442

Phone

(855) 422-3855

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Saba Haq

Title

Ao

Phone

(949) 463-0650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1871355099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562442",
            "telephone_number": "855-422-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562442",
            "telephone_number": "855-422-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLY PROVIDER GROUP NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "949-463-0650"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.