EVELYN N. KEDDIS (NPI# 1518025147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518025147 |
| Entity Type | Individual |
| Full Name | EVELYN N. KEDDIS |
| Credential | M.D. |
| Practice Address |
59 Koch Ave Morris Plains NJ 07950-4400 |
| Mailing Address |
3614 Gates Ct Morris Plains NJ 07950-3485 |
| Practice Telephone | 9735381800 |
| Mailing Telephone | 9732679792 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA02775600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
59 KOCH AVE |
| City | MORRIS PLAINS |
| State | NJ |
| Zip Code | 07950-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161850 | Justin B. Wilson | Internal Medicine | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-02-03 |
| 1811509441 | Adenike Esther Ola | Registered Nurse | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2020-08-17 |
| 1457897977 | Miliodaire Alphonse | Nurse Practitioner | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2017-01-07 |
| 1841734944 | Angela Anukam | Nurse Practitioner | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2016-12-07 |
| 1275904351 | Greystone Park Psychiatric Hospital | Psychiatric Hospital | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2015-10-14 |
| 1134508385 | Partners Pharmacy LLC | Pharmacy | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2015-05-20 |
| 1194160473 | Greystone Park Psychiatric Hospital | Psychiatric Hospital | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2013-05-01 |
| 1497019053 | Paul Kovalski II | Dentist | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2012-06-28 |
| 1306104518 | Ijeoma Jennifer Hassan | Psychiatry & Neurology | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2012-04-25 |
| 1861796070 | Rudresh G Bhatt | Dentist | 59 Koch Ave, Greystone Park Hospital, Dental Clinic, Morris Plains, NJ 07950 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1588037931 | Rakky Isaac | Social Worker | 999 Tabor Rd Ste 1, Morris Plains, NJ 07950 | 2015-11-06 |
| 1326459124 | Gabrielle Gargano | Social Worker | 4 Ellen Street, Morris Plains, NJ 07950 | 2014-05-14 |
| 1851737571 | Daniel Cruz | Counselor | 1 Crestview Court East, Morris Plains, NJ 07950 | 2013-05-21 |
| 1962747600 | Procore Physical Therapy | Clinic/Center | 2651 Route 10 East, Morris Plains, NJ 07950 | 2012-12-06 |
| 1518257815 | Elizabeth K. Albarran | Behavioral Analyst | 81 Fairchild Avenue, Morris Plains, NJ 07950 | 2011-04-08 |
| 1114240637 | Judith Gisser | Nutritionist | 639 State Highway Number 53, Morris Plains, NJ 07950 | 2010-03-11 |
| 1386971026 | Synergy Anesthesia LLC | Anesthesiology | 2740 Route 10 Ste 104, Morris Plains, NJ 07950 | 2009-11-16 |
| 1982836268 | Sunrise Morris Plains Assisted Living LLC | Assisted Living Facility | 209 Littleton Rd., Morris Plains, NJ 07950 | 2009-08-20 |
| 1972759116 | Medardo M Yap | Surgery | 6 Southwood Drive, Morris Plains, NJ 07950 | 2008-08-07 |
| Find all providers in zip 07950 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235299330 | Loreto D. Lizardo | Psychiatry & Neurology | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-12-11 |
| 1881761054 | Gerry F. Gaviola | Psychiatry & Neurology | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-11-30 |
| 1710054762 | Roland A. Limosnero | Psychiatry & Neurology | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| Find all providers with the same taxonomy | ||||
| City | MORRIS PLAINS |
| Zip Code | 07950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.