DAVID EVDOKIMOW, M.D. LLC
NPI 1124466966
Surgery - Plastic and Reconstructive Surgery in Basking Ridge, NJ

Active since June 13, 2013
96 SOUTH FINLEY AVE., BASKING RIDGE, NJ 07920(908) 221-0482(908) 221-0482 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Evdokimow, M.d. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID EVDOKIMOW, M.D. LLC (NPI 1124466966) is a healthcare organization registered as a plastic and reconstructive surgery in Basking Ridge, New Jersey and active in the NPI registry since June 2013. The organization lists David Z Evdokimow, President, as its authorized official.

NPPES Registry Identity

NPI1124466966
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameDAVID EVDOKIMOW, M.D. LLC
Location Address96 SOUTH FINLEY AVE.Basking Ridge, NJ 07920
Mailing Address96 South Finley Ave.Basking Ridge, NJ 07920 · (908) 221-0482 · Fax (908) 221-0482
Fax(908) 221-0482
Organization SubpartNo
Authorized OfficialDavid Z EvdokimowPresident · (908) 221-1136
Enumeration DateJune 13, 2013
NPI 1124466966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
Also ListedGeneral PracticeTaxonomy 208D00000X
96 SOUTH FINLEY AVE., Basking Ridge, NJ 07920

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Evdokimow, M.D. LLC's NPI number?

The NPI number for David Evdokimow, M.D. LLC is 1124466966. It was assigned to this organization in the NPPES registry on June 13, 2013.

Where is David Evdokimow, M.D. LLC located?

David Evdokimow, M.D. LLC is located at 96 South Finley Ave., Basking Ridge, NJ 07920. The listed phone number is (908) 221-0482.

What is David Evdokimow, M.D. LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for David Evdokimow, M.D. LLC was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.