Active NPIIndividual provider

Mr. Evince Edouard, COTA

Occupational Therapy Assistant in Rockleigh, New Jersey

NPI Number1023573169
Practice location
10 Link Dr, Rockleigh, NJ 07647-2504
Fax
—
Last updated
March 14, 2019

Evince Edouard is an Occupational Therapy Assistant based in Rockleigh, NJ. Evince Edouard practices in Rockleigh, NJ and has the professional credentials of COTA. The NPI Number for Evince Edouard is 1023573169 and holds a License No. 46TA09147700 (NJ). The current practice location address for Evince Edouard is 10 Link Dr, Rockleigh, NJ 07647-2504 and can be reached out via phone at 201-784-1414.

Provider Profile Details

NPI Number
1023573169
Provider Name
Evince Edouard
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
10 Link Dr, Rockleigh, NJ 07647-2504
Phone Number
201-784-1414
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2019
Last Update Date
March 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Link Dr
Rockleigh, NJ 07647-2504
Zip
07647-2504
Phone Number
201-784-1414
Rockleigh, NJ 07647Get directions →

Provider Business Mailing Address Details

Address
744 Elm Ave Apt 5B
Teaneck, NJ 07666-2331
City
Teaneck
State
NJ
Zip
07666-2331

License Information

License Number
46TA09147700
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Evince Edouard, COTA?

The NPI number of Mr. Evince Edouard, COTA is 1023573169. It was assigned on February 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Evince Edouard, COTA?

Mr. Evince Edouard, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09147700.

Where does Mr. Evince Edouard, COTA practice?

The practice location is 10 Link Dr, Rockleigh, NJ 07647-2504. The office can be reached at 201-784-1414 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023573169 directly on the NPPES registry website.

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