Active NPI
Evelyn David
- Pediatric Rheumatology Physician
- New Brunswick, NJ
National Provider Identifier
1932375896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 26NR07207400
- Practice address
- 89 French St
New Brunswick, NJ 08901-1935 - Phone
- (732) 235-4980
- NPI assigned
- May 1, 2008
- Last updated
- Jun 13, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | 26NR07207400 | NJ | Primary |
Addresses
Primary practice location
89 French St
New Brunswick, NJ 08901-1935
Mailing address
200 Somerset St
New Brunswick NJ 08901
New Brunswick, NJ 08901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174939 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07207400 | NJ | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialized Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Customized Equipment (DME)
- Mountainside, NJ
- NPI 1639210180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1932375896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"address_2": "NEW BRUNSWICK NJ 08901",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "08901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 FRENCH ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011935",
"telephone_number": "732-235-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2022-06-13",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "NJ",
"license": "26NR07207400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0174939",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.