EVAN D. O'BRIEN, M.D., P.C
NPI 1619126539
Physician Assistant - Surgical in West Deptford, NJ
NPI Status: Active since September 16, 2008
Contact Information
1225 N BROAD ST
SUITE 3
WEST DEPTFORD, NJ
ZIP 08096
Phone: (856) 845-0707
Fax: (856) 845-0082
- Organization
- Physician Assistant
- Surgical
About EVAN D. O'BRIEN, M.D., P.C
This page provides the complete NPI Profile along with additional information for Evan D. O'brien, M.d., P.c, a provider established in West Deptford, New Jersey operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1619126539 assigned on September 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 25MP00021200 (NJ). The provider is registered as an organization and their NPI record was last updated 16 years ago. Evan D. O'brien, M.d., P.c operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Kimberly Owens (Billing Manager)
- NPI
- 1619126539
- Provider Name
- EVAN D. O'BRIEN, M.D., P.C
- Entity Type
- Organization
- Location Address
- 1225 N BROAD ST SUITE 3 WEST DEPTFORD, NJ 08096
- Location Phone
- (856) 845-0707
- Location Fax
- (856) 845-0082
- Mailing Address
- 1225 N BROAD ST SUITE 3 WEST DEPTFORD, NJ 08096
- Mailing Phone
- (856) 845-0707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2008
- Last Update Date
- 06-11-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 25MP00021200
- License State
- NJ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | MA63525 (NJ) |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 25MA07777400 (NJ) |
| 3 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 25MP00100300 (NJ) |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 26NJ00027700 (NJ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6191490001 | MEDICARE NSC (07) | NJ |
Reviews for EVAN D. O'BRIEN, M.D., P.C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 1 | 2 | 6 | 5 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 2 | 2 | 12 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 2 + 2 + 1 + 2 + 5 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1619126539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740381185 | DR. EVAN D OBRIEN M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1225 N BROAD ST SUITE 3 WEST DEPTFORD, NJ 08096 (856) 845-0707 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619126539, enumerated in the NPI registry as an "organization" on September 16, 2008
The provider is located at 1225 N Broad St Suite 3 West Deptford, Nj 08096 and the phone number is (856) 845-0707
This medical organization specializes in Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 16, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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