- Practice location
- 280 Madison Ave Rm 205, New York, NY 10016-0816
- Phone
- 212-924-2871
- Fax
- —
- Last updated
- May 1, 2022
Evolution Medicine is a healthcare organization based in New York, NY. Evolution Medicine practices in New York, NY. The NPI Number for Evolution Medicine is 1659802957 and holds a License No. 263015 (NY). The current practice location address for Evolution Medicine is 280 Madison Ave Rm 205, New York, NY 10016-0816 and can be reached out via phone at 212-924-2871.
Provider Profile Details
- NPI Number
- 1659802957
- Provider Name
- Evolution Medicine
- Provider Entity Type
- Organization
- Address
- 280 Madison Ave Rm 205, New York, NY 10016-0816
- Phone Number
- 212-924-2871
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Dr. Sonya Lazarevic, MD · President · 212-924-2871
- Provider Enumeration Date
- March 27, 2017
- Last Update Date
- May 1, 2022
- Certification Date
- May 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 280 Madison Ave Rm 205
New York, NY 10016-0816 - City
- New York
- State
- New York
- Zip
- 10016-0816
- Phone Number
- 212-924-2871
Provider Business Mailing Address Details
- Address
- 7 Brush Hill RD Unit 8853
New Fairfield, CT 06812-7736 - City
- New Fairfield
- State
- CT
- Zip
- 06812-7736
- Phone Number
- 212-924-2871
- Fax Number
- 917-382-3681
License Information
- License Number (1)
- 263015
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (2)
- 263015
- License State (2)
- NY
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Evolution Medicine?
The NPI number of Evolution Medicine is 1659802957. It was assigned on March 27, 2017 and is currently active in the NPPES registry.
What is the specialty of Evolution Medicine?
Evolution Medicine is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 263015.
Where does Evolution Medicine practice?
The practice location is 280 Madison Ave Rm 205, New York, NY 10016-0816. The office can be reached at 212-924-2871 (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 1659802957 directly on the NPPES registry website.