EVAN MAST
NPI 1639707623
Dentist - General Practice in Elizabeth, NJ

Active since March 27, 2020
105 ELMORA AVE, ELIZABETH, NJ 07202(908) 402-0878 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2021, Mar 27, 2020 (2 updates tracked since 2020).

About Evan Mast NPPES

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

EVAN MAST (NPI 1639707623) is an individual general practice provider in Elizabeth, New Jersey, licensed in New Jersey (22DI02819700) and active in the NPI registry since March 2020. He maintains a secondary practice location in Montclair.

NPPES Registry Identity

NPI1639707623
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEVAN MAST
Location Address105 ELMORA AVEElizabeth, NJ 07202-1614
Mailing Address302 Foxwood RdUnion, NJ 07083-7941 · (908) 418-8527
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
NPI 1639707623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 22DI02819700
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
105 ELMORA AVE, Elizabeth, NJ 07202

Secondary Practice Location 1

Location 11 Bay AveMontclair, NJ 07042-4837 · Phone (973) 429-6000

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist (General Practice)
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202
Dentist
105 ELMORA AVE
ELIZABETH, NJ 07202

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 Mast's NPI number?

The NPI number for Evan Mast is 1639707623. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Evan Mast located?

Evan Mast practices at 105 Elmora Ave, Elizabeth, NJ 07202. The listed phone number is (908) 402-0878.

What is Evan Mast's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Evan Mast accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Evan Mast as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Mast was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.