DAVID EVDOKIMOW M.D. LLC NPI 1124466966

NPI Information

  • NPI: 1124466966
  • Provider Name: DAVID EVDOKIMOW, M.D. LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 96 SOUTH FINLEY AVE.
    BASKING RIDGE, NJ
    ZIP 07920
  • Phone: (908) 221-0482

Map and Directions

Get Directions

NPI Details

DAVID EVDOKIMOW, M.D. LLC is a plastic and reconstructive surgery surgery in Basking Ridge, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. DAVID EVDOKIMOW, M.D. LLC NPI is 1124466966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

96 SOUTH FINLEY AVE.
BASKING RIDGE, NJ
ZIP 07920
Phone: (908) 221-0482
Fax: (908) 221-0482

The provider's authorized official is David Z Evdokimow .
The authorized official title is President and has the following contact phone number (908) 221-1136.

The enumeration date for this NPI number is 6/13/2013 and was last updated on 6/13/2013.

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
1207ND0900XDermatologyDermatopathologyNo
2207NS0135XDermatologyProcedural DermatologyNo
3208600000XSurgeryNo
42086S0105XSurgerySurgery of the HandNo
52086S0120XSurgeryPediatric SurgeryNo
6208D00000XGeneral PracticeNo
72086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI