EVANCE DESRIVIERE (NPI# 1992899637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992899637 |
| Entity Type | Individual |
| Full Name | EVANCE DESRIVIERE |
| Practice Address |
96 Hudson Street Hoboken NJ 07030 |
| Practice Telephone | 2016109559 |
| Practice Fax Number | 9086881999 |
| Mailing Telephone | 2016109559 |
| Mailing Fax Number | 9086888180 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
96 HUDSON STREET |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720172166 | Melissa Bueno | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-02 |
| 1558457010 | Jay Rana | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-04 |
| 1669567889 | Andrew Sofranko | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-04 |
| 1710072384 | Jennifer Machulsky | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| 1396830907 | Nayyar Bashir | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| 1073607750 | David Sichik | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215025168 | Nikia Isaac | Specialist/Technologist, Other | 96 Hudson St, Hoboken, NJ 07030-5617 | 2006-10-10 |
| 1720172166 | Melissa Bueno | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-02 |
| 1821632969 | Precise Medical Solutions LLC | Specialist/Technologist, Other | 221 River St Ste 9, Hoboken, NJ 07030-5990 | 2019-11-01 |
| 1558457010 | Jay Rana | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-04 |
| 1669567889 | Andrew Sofranko | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-04 |
| 1710072384 | Jennifer Machulsky | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| 1396830907 | Nayyar Bashir | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| 1073607750 | David Sichik | Specialist/Technologist, Other | 96 Hudson Street, Hoboken, NJ 07030 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016683 | Performance Monitoring Associates LLC | Specialist/Technologist, Other | 344 Grove St Ste 4047, Jersey City, NJ 07302-5923 | 2020-09-01 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1336700467 | Soma Potential LLC | Specialist/Technologist, Other | 20 Mercury Ave, Colonia, NJ 07067-2512 | 2019-06-28 |
| 1558926469 | Joshua Goll | Specialist/Technologist, Other | 700 Route 46 E Ste 420, Fairfield, NJ 07004-1532 | 2019-05-06 |
| 1699231209 | Pro Monitoring Associates LLC | Specialist/Technologist, Other | 152 W 10th St, Bayonne, NJ 07002-1357 | 2019-02-19 |
| 1861958464 | Haytham E Osman | Specialist/Technologist, Other | 344 Grove St # 4047, Jersey City, NJ 07302-5923 | 2019-02-19 |
| 1922592518 | Northeast Regional Neuro Monitoring | Specialist/Technologist, Other | 115 Marsellus Pl, Garfield, NJ 07026 | 2018-06-18 |
| 1497292866 | Lauren Mazurek | Specialist/Technologist, Other | 153 White Pine Rd, Chesterfield, NJ 08515-2206 | 2017-01-24 |
| 1447683685 | Jonathan Matzko | Specialist/Technologist, Other | 16 Ginter St, Franklin, NJ 07416-1710 | 2013-08-12 |
| 1174860381 | Mohammad Naveed Shaikh | Specialist/Technologist, Other | 1306 Mindy Ln, Piscataway, NJ 08854-5984 | 2013-01-08 |
| Find all providers with the same taxonomy | ||||
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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.