Provider Demographics
NPI:1528168598
Name:JONES, EVA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:RUTH
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4102
Mailing Address - Country:US
Mailing Address - Phone:609-586-4474
Mailing Address - Fax:609-586-8195
Practice Address - Street 1:2420 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-4102
Practice Address - Country:US
Practice Address - Phone:609-586-4474
Practice Address - Fax:609-586-8195
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05366300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3206626OtherCIGNA PROVIDER #
NJ3614808Medicaid
NJP11047693OtherMULTIPLAN PROVIDER #
NJ785682OtherAETNA HMO PROVIDER #
NJ0415429000OtherALL HMO INSURANCE PROVIDR
NJ4131992OtherAETNA NON-HMO PROVIDER #
NJF02598OtherPHS/HEALTHNET PROVIDER#
NJ3206626OtherCIGNA PROVIDER #
NJ4131992OtherAETNA NON-HMO PROVIDER #