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Evernorth Care Providers - New Jersey PC

General Practice Physician in Totowa, NJ · enumerated 2012 · authorized official Jacqueline Lakes, Senior Paralegal.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174874200

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Registry record

Entity type Organization (Type 2)
Legal business name Evernorth Care Providers - New Jersey PC
Practice address 999 Riverview Dr Fl 2, Totowa, NJ, 07512
Fax (312) 564-4059
Enumeration date Sep 28, 2012
Last updated in NPPES Jul 14, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jacqueline Lakes
Title Senior Paralegal

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Evernorth Care Providers - New Jersey PC located?
The practice location on file with NPPES is in Totowa, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-14.