David Evdokimow, M.d. LLC
Surgery, Plastic and Reconstructive Surgery in Basking Ridge, New Jersey
1124466966- Practice location
- 96 South Finley Ave., Basking Ridge, NJ 07920
- Phone
- 908-221-0482
- Fax
- 908-221-0482
- Last updated
- June 13, 2013
David Evdokimow, M.d. LLC is a healthcare organization based in Basking Ridge, NJ. David Evdokimow, M.d. LLC practices in Basking Ridge, NJ. The NPI Number for David Evdokimow, M.d. LLC is 1124466966. The current practice location address for David Evdokimow, M.d. LLC is 96 South Finley Ave., Basking Ridge, NJ 07920 and can be reached out via phone at 908-221-0482 and via fax at 908-221-0482.
Provider Profile Details
- NPI Number
- 1124466966
- Provider Name
- David Evdokimow, M.d. LLC
- Provider Entity Type
- Organization
- Address
- 96 South Finley Ave., Basking Ridge, NJ 07920
- Phone Number
- 908-221-0482
- Fax Number
- 908-221-0482
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Organization Subpart
- No
- Authorized Official
- David Z Evdokimow, MD · President · 908-221-1136
- Provider Enumeration Date
- June 13, 2013
- Last Update Date
- June 13, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 96 South Finley Ave.
Basking Ridge, NJ 07920 - City
- Basking Ridge
- State
- New Jersey
- Zip
- 07920
- Phone Number
- 908-221-0482
- Fax Number
- 908-221-0482
Provider Business Mailing Address Details
- Address
- 96 South Finley Ave.
Basking Ridge, NJ 07920 - City
- Basking Ridge
- State
- NJ
- Zip
- 07920
- Phone Number
- 908-221-0482
- Fax Number
- 908-221-0482
License Information
- Taxonomy (1)
- Dermatology, Dermatopathology · 207ND0900X
- Taxonomy (2)
- Dermatology, Procedural Dermatology · 207NS0135X
- Taxonomy (3)
- Surgery · 208600000X
- Taxonomy (4)
- Surgery, Surgery of the Hand · 2086S0105X
- Taxonomy (5)
- Surgery, Pediatric Surgery · 2086S0120X
- Taxonomy (6)
- General Practice · 208D00000X
- Taxonomy (7)
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 David Evdokimow, M.d. LLC?
The NPI number of David Evdokimow, M.d. LLC is 1124466966. It was assigned on June 13, 2013 and is currently active in the NPPES registry.
What is the specialty of David Evdokimow, M.d. LLC?
David Evdokimow, M.d. LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X).
Where does David Evdokimow, M.d. LLC practice?
The practice location is 96 South Finley Ave., Basking Ridge, NJ 07920. The office can be reached at 908-221-0482 (phone) or 908-221-0482 (fax).
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 1124466966 directly on the NPPES registry website.