Nina Lourdes Evangelista, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01223400 Issued in NJ

Practice address

194 2ND Ave
Cedar Grove, NJ 07009-1141

Phone

(973) 256-0330

Fax

(973) 812-0339

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Physical Therapy PCGroup PAC ID 8527077338, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bella Physical Therapy PC

  • Physical Therapist
  • Rochelle Park, NJ
  • NPI 1326096769
  Medicare reassignment Care Compare group
• Sana Spine and Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Parsippany, NJ
  • NPI 1063030898
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871686675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 2ND AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091141",
            "telephone_number": "973-256-0330",
            "fax_number": "973-812-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 2ND AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091141",
            "telephone_number": "973-256-0330",
            "fax_number": "973-812-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "NINA",
        "middle_name": "LOURDES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01223400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana R Einhorn, PT
• Ellen E Cunningham MD,LLC
• Madiha A Eltaki
• Rebecca Ernst
• Essex Regional Educational Services Commission (Unlimited Horizons)
• Krista Evans
• Kalender Dorshell Evins, F.N,P
• Michele B. Fahrenfeld, PTA
• Faris Chiropractic
• Karim Habib Faris, D.C., M.S.

• Specialist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.