Dr. Evan D Federici, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Eatontown, New Jersey
1598595159- Practice location
- 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
- Phone
- 732-724-1234
- Fax
- —
- Last updated
- April 13, 2025
Evan Douglas Federici is a Nurse Practitioner, Psych/Mental Health based in Eatontown, NJ. Evan Douglas Federici practices in Eatontown, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Evan Douglas Federici is 1598595159 and holds a License No. 26NR20562100 (NJ). The current practice location address for Evan Douglas Federici is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273 and can be reached out via phone at 732-724-1234.
Provider Profile Details
- NPI Number
- 1598595159
- Provider Name
- Evan Douglas Federici
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273
- Phone Number
- 732-724-1234
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 7, 2024
- Last Update Date
- April 13, 2025
- Certification Date
- April 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Hope RD Ste 3B
Eatontown, NJ 07724-1273 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1273
- Phone Number
- 732-724-1234
Provider Business Mailing Address Details
- Address
- 615 Hope RD Ste 3B
Eatontown, NJ 07724-1273 - City
- Eatontown
- State
- NJ
- Zip
- 07724-1273
- Phone Number
- 732-724-1234
- Fax Number
- 732-532-0801
License Information
- License Number (1)
- 26NR20562100
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 26NJ15110100
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Dr. Evan D Federici, PMHNP-BC?
The NPI number of Dr. Evan D Federici, PMHNP-BC is 1598595159. It was assigned on August 7, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Evan D Federici, PMHNP-BC?
Dr. Evan D Federici, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NR20562100.
Where does Dr. Evan D Federici, PMHNP-BC practice?
The practice location is 615 Hope RD Ste 3B, Eatontown, NJ 07724-1273. The office can be reached at 732-724-1234 (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 1598595159 directly on the NPPES registry website.