Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Evernorth Care Providers - New Jersey PC

Organization Family Medicine Physician · NPI 1174874200

Evernorth Care Providers - New Jersey PC provides Family Medicine Physician services 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