1. Home
  2. Directory
  3. New Jersey
  4. Nutley
  5. Pathology
  6. NPI Profile

DR. EVAN J WALDRON MD/PHD
NPI 1912588740
Pathology - Clinical Pathology in Nutley, NJ

Active since April 14, 2021PECOS Enrolled
139 WATCHUNG PL, NUTLEY, NJ 07110(201) 674-4944(973) 661-4482 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Evan J Waldron Md/phd NPPES

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

DR. EVAN J WALDRON MD/PHD (NPI 1912588740) is an individual clinical pathology provider in Nutley, New Jersey, licensed in New York (327378) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2021).

NPPES Registry Identity

NPI1912588740
Entity TypeIndividualMale
Primary Taxonomy207ZC0006X
Provider Legal NameDR. EVAN J WALDRONCredential: MD/PHD
Location Address139 WATCHUNG PLNutley, NJ 07110-2030
Mailing Address139 Watchung PlNutley, NJ 07110-2030 · (201) 674-4944
Phone(201) 674-4944
Fax(973) 661-4482
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1912588740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License✔ Licensed in NY · 327378
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
139 WATCHUNG PL, Nutley, NJ 07110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan J Waldron Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254847775
PECOS Enrollment IDI20250722002391
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Waldron's NPI number?

The NPI number for Evan Waldron is 1912588740. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Evan Waldron located?

Evan Waldron practices at 139 Watchung Pl, Nutley, NJ 07110. The listed phone number is (201) 674-4944.

What is Evan Waldron's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Evan Waldron enrolled in Medicare?

Yes. Evan Waldron is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Waldron was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.