Evan D. O'Brien, M.D., P.C
NPI 1619126539 · Surgical Physician Assistant · West Deptford, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evan D. O'Brien, M.D., P.C is a Surgical Physician Assistant organization in West Deptford, NJ (NPI 1619126539).
Provider details
- NPI number
- 1619126539
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kimberly Owens, Billing Manager(856) 845-0707
- License
- MA63525 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2009-06-11
Frequently asked questions
- What is Evan D. O'Brien, M.D., P.C's NPI number?
- Evan D. O'Brien, M.D., P.C's National Provider Identifier (NPI) is 1619126539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evan D. O'Brien, M.D., P.C?
- Evan D. O'Brien, M.D., P.C is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Evan D. O'Brien, M.D., P.C located?
- Evan D. O'Brien, M.D., P.C's practice location on file with NPPES is 1225 N Broad St, West Deptford, NJ 08096-1203.
- What is Evan D. O'Brien, M.D., P.C's phone number?
- The practice phone number listed in the NPPES registry for Evan D. O'Brien, M.D., P.C is (856) 845-0707.
- Does Evan D. O'Brien, M.D., P.C accept Medicare?
- Evan D. O'Brien, M.D., P.C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evan D. O'Brien, M.D., P.C?
- The authorized official listed on Evan D. O'Brien, M.D., P.C's NPPES record is Kimberly Owens, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evan D. O'Brien, M.D., P.C's NPI active?
- Yes — Evan D. O'Brien, M.D., P.C's NPI (1619126539) is active in the NPPES registry as of the last update on 2009-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.