DR. DAVID Z EVDOKIMOW M.D. NPI 1508930678

NPI Information

NPI: 1508930678
Provider Name: DR. DAVID Z EVDOKIMOW, M.D.
Classification: Plastic Surgery - 2082S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

Address:
96 S FINLEY AVE
BASKING RIDGE, NJ
ZIP 07920
Phone: (908) 221-1136
Get Directions

DR. David Z Evdokimow, M.D. is a surgery of the hand plastic surgery in Basking Ridge, NJ. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. David Z Evdokimow, M.D. NPI is 1508930678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

96 S FINLEY AVE
BASKING RIDGE, NJ
ZIP 07920-422
Phone: (908) 221-1136
Fax: (908) 221-0482

The enumeration date for this NPI number is 11/20/2006 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		25MA07315300	NEW JERSEY	No
2	208200000X	Plastic Surgery		25MA07315300	NEW JERSEY	No
3	2086S0105X	Surgery	Surgery of the Hand	25MA07315300	NEW JERSEY	No
4	2086S0122X	Surgery	Plastic and Reconstructive Surgery	25MA07315300	NEW JERSEY	No
5	2082S0105X	Plastic Surgery	Surgery of the Hand	25MA07315300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051424TRS	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	H49275	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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