NPIMap

Organization Active NPI

Eva's Village, Inc.

  • Community/Behavioral Health Agency
  • Paterson, NJ
National Provider Identifier
1942615257
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
304100104 Issued in NJ
Legal business name
EVA'S VILLAGE, INC.
Practice address
16 Spring St
Paterson, NJ 07501-2823
Phone
(973) 754-6784
Fax
(973) 754-8539
NPI assigned
Jun 25, 2014
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Mr. Mark Schmit
Title
Chief Executive Officer
Phone
(973) 523-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 304100104 NJ Primary

Addresses

Primary practice location

16 Spring St
Paterson, NJ 07501-2823

Mailing address

393 Main St
Paterson, NJ 07501-2815
Phone (973) 523-6220

Other identifiers 2

IdentifierTypeStateIssuer
7199708MedicaidNJ
7632703MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Eva's Village Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16 Spring St
Paterson, NJ 07501
Phone (973) 754-6780

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1942615257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012815",
            "telephone_number": "973-523-6220",
            "fax_number": "973-825-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SPRING ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012823",
            "telephone_number": "973-754-6784",
            "fax_number": "973-754-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA'S VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SCHMIT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-523-6220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "304100104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7199708",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7632703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.