Active NPIIndividual providerSole proprietor

Nina L Evangelista, DPT

Specialist in Cedar Grove, New Jersey

NPI Number1871686675
Practice location
194 2ND Ave, Cedar Grove, NJ 07009-1141
Fax
973-812-0339
Last updated
July 8, 2007

Nina Lourdes Evangelista is a Specialist based in Cedar Grove, NJ. Nina Lourdes Evangelista practices in Cedar Grove, NJ and has the professional credentials of DPT. The NPI Number for Nina Lourdes Evangelista is 1871686675 and holds a License No. 40QA01223400 (NJ). The current practice location address for Nina Lourdes Evangelista is 194 2ND Ave, Cedar Grove, NJ 07009-1141 and can be reached out via phone at 973-256-0330 and via fax at 973-812-0339.

Provider Profile Details

NPI Number
1871686675
Provider Name
Nina Lourdes Evangelista
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
194 2ND Ave, Cedar Grove, NJ 07009-1141
Phone Number
973-256-0330
Fax Number
973-812-0339
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 2ND Ave
Cedar Grove, NJ 07009-1141
Zip
07009-1141
Phone Number
973-256-0330
Fax Number
973-812-0339
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
194 2ND Ave
Cedar Grove, NJ 07009-1141
City
Cedar Grove
State
NJ
Zip
07009-1141
Phone Number
973-256-0330
Fax Number
973-812-0339

License Information

License Number
40QA01223400
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

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 Nina L Evangelista, DPT?

The NPI number of Nina L Evangelista, DPT is 1871686675. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Nina L Evangelista, DPT?

Nina L Evangelista, DPT is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 40QA01223400.

Where does Nina L Evangelista, DPT practice?

The practice location is 194 2ND Ave, Cedar Grove, NJ 07009-1141. The office can be reached at 973-256-0330 (phone) or 973-812-0339 (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 1871686675 directly on the NPPES registry website.

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