Healthcare Provider Details

I. General information

NPI: 1184534703
Provider Name (Legal Business Name): EVELYN ESTEVEZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 NJ-17 SUITE 150
PARAMUS NJ
07652
US

IV. Provider business mailing address

444 MOUNTAIN AVE
TOWNSHIP OF WASHINGTON NJ
07676-5002
US

V. Phone/Fax

Practice location:
  • Phone: 551-367-0271
  • Fax:
Mailing address:
  • Phone: 201-595-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: