Benjamin Marvin Evans, RN APN-C

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

26NC07677700 Issued in NJ

Practice address

155 Jefferson St
Mental Health-4W
Newark, NJ 07105-1706

Phone

(973) 465-2605

Fax

(973) 465-2829

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912981853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 EGE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041413",
            "telephone_number": "201-333-1094",
            "fax_number": "201-333-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 JEFFERSON ST",
            "address_2": "MENTAL HEALTH-4W",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051706",
            "telephone_number": "973-465-2605",
            "fax_number": "973-465-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BENJAMIN",
        "middle_name": "MARVIN",
        "credential": "RN APN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC07677700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6741100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Estok, MD
• Janell C. Ettore, APN
• Davina Etwaru, MD
• Lakeesha Eure
• Michelle Evans-Pontrelli, MD
• Nicholas Michael Evans, MD
• Shae Evans
• Tanita Evans
• Evergreen Health RX LLC
• Heather B. Evers, CPNP

• Adult Psychiatric/Mental Health Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.