Provider Demographics
NPI:1518050129
Name:EVANS, BARBARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:EVANS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:36 KNICKERBOCKER DR
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4544
Mailing Address - Country:US
Mailing Address - Phone:609-915-4318
Mailing Address - Fax:609-915-4318
Practice Address - Street 1:36 KNICKERBOCKER DR
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4544
Practice Address - Country:US
Practice Address - Phone:609-915-4318
Practice Address - Fax:908-874-3397
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA306832080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4880501Medicaid
NJ1011459OtherHORIZON NJ HEALTH
NJCA0000150OtherAMERICHOICE
NJP668427OtherOXFORD
NJ0073793000OtherAMERIHEALTH/KEYSTONE/IBC
NJ2969170OtherAETNA
NJ42656OtherAMERIHEALTH PPO/PA BS
NJ3K5450OtherHEALTHNET, INC
NJ9203212OtherCIGNA
NJ1242590OtherUNITED HEALTHCARE
NJ13559OtherUNIVERSITY HEALTH PLAN
NJ042656 MB5Medicare PIN
E13096Medicare UPIN