Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evernorth Care Providers - New Jersey PC

Organization Family Medicine Physician · NPI 1174874200

Evernorth Care Providers - New Jersey PC is a Family Medicine Physician in Totowa, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.

Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

999 Riverview Dr Fl 2
Totowa, NJ 07512-1164
Phone: (773) 292-4800
Fax: (312) 564-4059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X (NJ)

Record details

NPI number1174874200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Lakes — Senior Paralegal · (954) 446-0640
NPI enumeratedSeptember 28, 2012
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331

Other providers in Totowa