Active NPIIndividual providerSole proprietor

Dr. David Z Evdokimow, MD

Plastic Surgery, Surgery of the Hand in Basking Ridge, New Jersey

NPI Number1508930678
Practice location
96 S Finley Ave, Basking Ridge, NJ 07920-1422
Fax
908-221-0482
Last updated
September 7, 2007

David Z Evdokimow is a Plastic Surgery, Surgery of the Hand based in Basking Ridge, NJ. David Z Evdokimow practices in Basking Ridge, NJ and has the professional credentials of MD. The NPI Number for David Z Evdokimow is 1508930678 and holds a License No. 25MA07315300 (NJ). The current practice location address for David Z Evdokimow is 96 S Finley Ave, Basking Ridge, NJ 07920-1422 and can be reached out via phone at 908-221-1136 and via fax at 908-221-0482.

Provider Profile Details

NPI Number
1508930678
Provider Name
David Z Evdokimow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
96 S Finley Ave, Basking Ridge, NJ 07920-1422
Phone Number
908-221-1136
Fax Number
908-221-0482
Primary Taxonomy
Plastic Surgery, Surgery of the Hand · 2082S0105X
Sole Proprietor
Yes
Provider Enumeration Date
November 20, 2006
Last Update Date
September 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 S Finley Ave
Basking Ridge, NJ 07920-1422
Zip
07920-1422
Phone Number
908-221-1136
Fax Number
908-221-0482
Basking Ridge, NJ 07920Get directions →

Provider Business Mailing Address Details

Address
96 S Finley Ave
Basking Ridge, NJ 07920-1422
City
Basking Ridge
State
NJ
Zip
07920-1422
Phone Number
908-221-1136
Fax Number
908-221-0482

License Information

License Number (1)
25MA07315300
License State (1)
NJ
Taxonomy (1)
Oral & Maxillofacial Surgery · 204E00000X
License Number (2)
25MA07315300
License State (2)
NJ
Taxonomy (2)
Plastic Surgery · 208200000X
License Number (3)
25MA07315300
License State (3)
NJ
Taxonomy (3)
Plastic Surgery, Surgery of the Hand · 2082S0105X · Primary
License Number (4)
25MA07315300
License State (4)
NJ
Taxonomy (4)
Surgery, Surgery of the Hand · 2086S0105X
License Number (5)
25MA07315300
License State (5)
NJ

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 Dr. David Z Evdokimow, MD?

The NPI number of Dr. David Z Evdokimow, MD is 1508930678. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. David Z Evdokimow, MD?

Dr. David Z Evdokimow, MD is registered under the primary taxonomy Plastic Surgery, Surgery of the Hand (code 2082S0105X), licensed in NJ under license number 25MA07315300.

Where does Dr. David Z Evdokimow, MD practice?

The practice location is 96 S Finley Ave, Basking Ridge, NJ 07920-1422. The office can be reached at 908-221-1136 (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 1508930678 directly on the NPPES registry website.

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