EVAN D. O'BRIEN, M.D., P.C
EVAN D. O'BRIEN, M.D., P.C is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1619126539, based in West Deptford, NJ. The organization lists 4 taxonomy classifications, with Surgical Physician Assistant recorded as primary.
Getting there
The practice address on file is 1225 N BROAD ST SUITE 3, West Deptford, NJ 08096. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 25MP00021200 | NJ | Surgical Physician Assistant primary |
| MA63525 | NJ | Orthopaedic Surgery of the Spine Physician |
| 25MA07777400 | NJ | Pain Medicine (Physical Medicine &… |
| 25MP00100300 | NJ | Surgical Physician Assistant |
| 26NJ00027700 | NJ | Family Nurse Practitioner |
This provider holds licence 25MP00021200 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9133296601
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20080925000098 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20100930036351 | Dme Supplier - Physician - Orthopedic/orthopedic Surgery |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | 25MP00021200 | NJ | primary |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician Orthopaedic Surgery of the Spine | MA63525 | NJ | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 25MA07777400 | NJ | |
| 363AS0400X | Surgical Physician Assistant Surgical | 25MP00100300 | NJ | |
| 363LF0000X | Family Nurse Practitioner Family | 26NJ00027700 | NJ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1619126539 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 16, 2008 |
| Last updated | Jun 11, 2009 |
| Status | Active |
| Practice address |
1225 N BROAD ST SUITE 3 West Deptford, NJ 08096 (856) 845-0707 Fax (856) 845-0082 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 1 | 9 | 1 | 2 | 6 | 5 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 2 | 9 | 2 | 2 | 3 | 5 | 6 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.