Michael Evangelist, MSPT
Physical Therapist in West Orange, New Jersey
1780735316- Practice location
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone
- 973-669-0078
- Fax
- 973-669-1113
- Last updated
- July 8, 2007
Michael Evangelist is a Physical Therapist based in West Orange, NJ. Michael Evangelist practices in West Orange, NJ and has the professional credentials of MSPT. The NPI Number for Michael Evangelist is 1780735316 and holds a License No. 40QA01129500 (NJ). The current practice location address for Michael Evangelist is 622 Eagle Rock Ave, West Orange, NJ 07052-2994 and can be reached out via phone at 973-669-0078 and via fax at 973-669-1113.
Provider Profile Details
- NPI Number
- 1780735316
- Provider Name
- Michael Evangelist
- Credential
- MSPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 622 Eagle Rock Ave, West Orange, NJ 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Eagle Rock Ave
West Orange, NJ 07052-2994 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2994
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
Provider Business Mailing Address Details
- Address
- 715 Clinton St
Apt 17
Hoboken, NJ 07030-2841 - City
- Hoboken
- State
- NJ
- Zip
- 07030-2841
- Phone Number
- 973-669-0078
- Fax Number
- 973-669-1113
License Information
- License Number
- 40QA01129500
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · 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 Michael Evangelist, MSPT?
The NPI number of Michael Evangelist, MSPT is 1780735316. It was assigned on January 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Michael Evangelist, MSPT?
Michael Evangelist, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01129500.
Where does Michael Evangelist, MSPT practice?
The practice location is 622 Eagle Rock Ave, West Orange, NJ 07052-2994. The office can be reached at 973-669-0078 (phone) or 973-669-1113 (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 1780735316 directly on the NPPES registry website.