BENJAMIN MARVIN EVANS RN APN-C NPI 1912981853

NPI Information

  • NPI: 1912981853
  • Provider Name: BENJAMIN MARVIN EVANS, RN APN-C
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 155 JEFFERSON ST
    MENTAL HEALTH-4W
    NEWARK, NJ
    ZIP 07105
  • Phone: (973) 465-2605

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NPI Details

Benjamin Marvin Evans, RN APN-C is a psychiatric/mental health and adult registered nurse in Newark, NJ. Benjamin Marvin Evans, RN APN-C NPI is 1912981853. 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:

155 JEFFERSON ST
MENTAL HEALTH-4W
NEWARK, NJ
ZIP 07105-706
Phone: (973) 465-2605
Fax: (973) 465-2829

The enumeration date for this NPI number is 12/5/2005 and was last updated on 7/8/2007.

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
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult26NC07677700NEW JERSEYYes

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
16741100MEDICAIDNEW 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: 11/21/2025

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