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

Dr. Evan J Waldron, MD/PHD

Individual provider Clinical Pathology Physician · NPI 1912588740

Dr. Evan J Waldron, MD/PHD is a Pathology in Nutley, New Jersey. Graduated from Rutgers New Jersey Medical School in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
5
Trained at
Rutgers New Jersey Medical School
Licensed in
NY
In the registry since
2021

Practice location Address checks out

139 Watchung Pl
Nutley, NJ 07110-2030
Phone: (201) 674-4944
Fax: (973) 661-4482
Show map & directions

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

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X · Licence 327378 (NY)

Record details

NPI number1912588740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorYes
NPI enumeratedApril 14, 2021
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address139 Watchung Pl, Nutley, NJ 07110-2030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare