OrganizationActive
David Evdokimow, M.D. LLC
NPI 1124466966 · Plastic and Reconstructive Surgery Physician · Basking Ridge, NJ
Provider details
- NPI number
- 1124466966
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Evdokimow, President(908) 221-1136
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Surgery of the Hand (Surgery) Physician2086S0105X
Allopathic & Osteopathic Physicians
- Pediatric Surgery Physician2086S0120X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Practice location
96 South Finley Ave.
Basking Ridge, NJ 07920
Phone: (908) 221-0482
Fax: (908) 221-0482
Approximate (ZIP-level) locationGet directions
Mailing address
96 South Finley Ave.
Basking Ridge, NJ 07920
Registry dates
- Enumerated
- 2013-06-13
- Last updated
- 2013-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.