BENJAMIN MARVIN EVANS (NPI# 1912981853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912981853 |
| Entity Type | Individual |
| Full Name | BENJAMIN MARVIN EVANS |
| Credential | RN APN-C |
| Practice Address |
155 Jefferson St Mental Health-4w Newark NJ 07105-1706 |
| Mailing Address |
224 Ege Ave Jersey City NJ 07304-1413 |
| Practice Telephone | 9734652605 |
| Practice Fax Number | 9734652829 |
| Mailing Telephone | 2013331094 |
| Mailing Fax Number | 2013336226 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
26NC07677700 | NJ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6741100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251690 | Benjamin David Evans | Physical Therapist | 145 Inverness Dr E, Englewood, CO 80112-5171 | 2019-08-19 |
| 1073984381 | Benjamin Franklin Evans IIi | Specialist/Technologist | Ochsner 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-13 |
| 1215392519 | Benjamin Evans | Physical Therapist | 12421 San Jose Blvd Ste 100, Jacksonville, FL 32223-8662 | 2015-12-31 |
| 1881977122 | Benjamin J Evans | Physical Therapist | 1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 | 2011-09-22 |
| 1013223791 | Benjamin A Evans | Pharmacist | 6845 S York Hwy, Clarkrange, TN 38553-5154 | 2010-08-19 |
| 1922322114 | Benjamin Evans | Social Worker | 1031 E Fayette St, Syracuse, NY 13210-1022 | 2010-03-17 |
| 1568439057 | Benjamin F Evans | Internal Medicine | 1264 Wesley Dr, #206, Memphis, TN 38116-6400 | 2006-03-02 |
| Street Address |
155 JEFFERSON ST MENTAL HEALTH-4W |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260557 | Elm Street Hospital Physicians, P.a. | General Practice | 155 Jefferson St, Newark, NJ 07105-1706 | 2005-08-01 |
| 1316478399 | Fady Sorial | Pharmacist | 155 Jefferson St, Newark, NJ 07105-1706 | 2017-03-22 |
| 1588033641 | Pharmaceutical Prescription Service, LLC | Pharmacy | 155 Jefferson St, Newark, NJ 07105-1706 | 2015-09-18 |
| 1922371079 | Bell Med PC | Psychiatry & Neurology | 155 Jefferson St, 5th Floor, Newark, NJ 07039 | 2012-02-21 |
| 1740558832 | Saint Michael's Medical Center | Psychiatric Unit | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-12-05 |
| 1790081255 | Life At Saint Michael's Inc. | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2011-02-01 |
| 1336467539 | Belinda Luce Smith | Nurse Practitioner | 155 Jefferson St, 3rd Floor-newark Community Health Centers, Inc., Newark, NJ 07105-1706 | 2010-05-12 |
| 1093942153 | Newark Community Health Centers, Inc | Clinic/Center | 155 Jefferson St, Newark, NJ 07105-1706 | 2009-06-16 |
| 1205030301 | Marcelo Esguerra Jr. | Physical Therapist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-06-13 |
| 1780890814 | Leon G. Smith Jr. Md, LLC | Specialist | 155 Jefferson St, Newark, NJ 07105-1706 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285938175 | Margie Hassan | Registered Nurse | 261 Chapman Rd, Stockton Building, Suite 100, Newark, DE 19702-5423 | 2011-01-06 |
| 1073817276 | Eileen M. Lindell | Registered Nurse | 261 Chapman Rd, Newark, DE 19702-5423 | 2011-01-03 |
| 1154544716 | Yvonne Elalne Bivins | Registered Nurse | 269 Oliver St, Newark, NJ 07105-2507 | 2007-04-11 |
| 1730220153 | Janice Ann Aloi | Registered Nurse | 65 Bergen St, Newark, NJ 07107-3001 | 2007-02-09 |
| 1821150764 | Sylvia Iwuji | Registered Nurse | 1160 Raymond Blvd, 6th Floor, Newark, NJ 07102-4168 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1093087249 | Lisa M Ewan | Registered Nurse | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2012-02-03 |
| 1841429255 | Shana Elizabeth Careatti | Registered Nurse | 2500 Mcclellan Ave, Suite 300, Pennsauken, NJ 08109-4613 | 2009-07-07 |
| 1891921300 | Barbara Jane Taylor | Registered Nurse | 40 Saint Andrews Ct, Westampton, NJ 08060-4721 | 2009-06-10 |
| 1164606869 | Susan Lee Allender | Registered Nurse | 385 Tremont Ave # Ward12b, East Orange, NJ 07018-1023 | 2007-12-18 |
| 1225221781 | Kathleen Joan Mencher | Registered Nurse | 464 Academy St, South Orange, NJ 07079-1839 | 2007-08-19 |
| 1801005491 | Carolyn Pierce Buckelew | Registered Nurse | 79 Hilliard Rd, Old Bridge, NJ 08857-1535 | 2007-05-21 |
| 1295958296 | Susan Gragen Fingerhut | Registered Nurse | 2250 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-2051 | 2007-04-10 |
| 1912021197 | Carmen M. Rosado | Registered Nurse | 100 1st St Ste 203, Hackensack, NJ 07601-2154 | 2007-03-16 |
| 1467523100 | Maria Simone | Registered Nurse | 2201 Mountain Ave, Scotch Plains, NJ 07076-1303 | 2006-11-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.