MEDICARE: DOCTOR EVA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1245117860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR EVA LLC

Provider Business Mailing Address
First Line	:	186 RUTGERS AVE
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1948
Country	:	US
Telephone Number	:	732-310-9017
Fax Number	:

Provider Business Practice Location Address
First Line	:	186 RUTGERS AVE
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1948
Country	:	US
Telephone Number	:	908-679-9295
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. EVA NOVAK
Credential	:
Telephone Number	:	908-679-9295

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “DOCTOR EVA LLC ” Practice Location

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