EVAN D. O'BRIEN, M.D., P.C
NPI 1619126539
Physician Assistant - Surgical in West Deptford, NJ

Q: What is Evan D. O'brien, M.D., P.C's NPI number?

The NPI number for Evan D. O'brien, M.D., P.C is 1619126539. It was assigned to this organization in the NPPES registry on September 16, 2008.

Q: What is Evan D. O'brien, M.D., P.C's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since September 16, 2008

1225 N BROAD ST, SUITE 3, WEST DEPTFORD, NJ 08096(856) 845-0707(856) 845-0082 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evan D. O'brien, M.d., P.c NPPES

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

EVAN D. O'BRIEN, M.D., P.C (NPI 1619126539) is a healthcare organization registered as a surgical in West Deptford, New Jersey and active in the NPI registry since September 2008. The organization lists Kimberly Owens, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1619126539

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameEVAN D. O'BRIEN, M.D., P.C

Location Address1225 N BROAD ST, SUITE 3West Deptford, NJ 08096-1203

Mailing Address1225 N Broad St, Suite 3West Deptford, NJ 08096-1203 · (856) 845-0707

Phone(856) 845-0707

Fax(856) 845-0082

Organization SubpartNo

Authorized OfficialKimberly OwensBilling Manager · (856) 845-0707

Enumeration DateSeptember 16, 2008

Last NPPES UpdateJune 11, 2009

✔ NPI 1619126539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NJ · 25MP00021200✔ Licensed in NJ · 25MP00100300

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License MA63525 (NJ)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 25MA07777400 (NJ)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00027700 (NJ)

1225 N BROAD ST, West Deptford, NJ 08096

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Other Identifiers 1

Medicare NSC6191490001NJ

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENNA DEAN PA-C

Physician Assistant (Surgical)

1225 N BROAD ST, STE 3
WOODBURY, NJ 08096

Gloucester County (856) 845-0707

AMY AQUINO APN

Psychiatry & Neurology (Psychiatry)

1225 N BROAD ST
WEST DEPTFORD, NJ 08096

Gloucester County (856) 656-4848

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 Evan D. O'brien, M.D., P.C's NPI number?

The NPI number for Evan D. O'brien, M.D., P.C is 1619126539. It was assigned to this organization in the NPPES registry on September 16, 2008.

Where is Evan D. O'brien, M.D., P.C located?

Evan D. O'brien, M.D., P.C is located at 1225 N Broad St Suite 3, West Deptford, NJ 08096. The listed phone number is (856) 845-0707.

What is Evan D. O'brien, M.D., P.C's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Evan D. O'brien, M.D., P.C was last updated on June 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.