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Evan Michael Wiley

Pediatrics β€’ Neptune, NJ

Active NPI 1205367539 Individual Practitioner Male Practitioner
Practice location in NPPES

1945 Route 33,
Neptune, NJ 07753

Call 7327762342 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1945 Route 33,

Neptune, NJ 07753

Telephone 7327762342
Fax 7327762344
Organization at the Same NPPES Address or Phone
Miss Bee Slp, Llc Facility NPI 1093446395

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Icahn School Of Medicine At Mount Sinai

Graduation Year

2017

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Evan Wiley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Evan Wiley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Neptune and New Jersey

32 active clinicians are listed under Pediatrics with a practice address in Neptune, NJ (2,185 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Neptune

0% of these 32 clinicians have the CMS telehealth indicator.

15.6% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NJ 25MA13047400

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A169840

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 332507

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20260417001785

Enrollment State Jurisdiction

NJ

PECOS Control ID

7113334319

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Mollie Bradley , PA

Physician Assistant

NPI 1306523717

Physician Assistant

Daniel Digiacomo

Pediatrics - Pediatric Allergy/Immunology

NPI 1083148167
Dr. Cynthia Kos , DO

Internal Medicine - Cardiovascular Disease

NPI 1952716805

Doctor of Osteopathic Medicine (D.O.)

Cortney Seitz , PA-C

Physician Assistant

NPI 1013923143

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location June 24, 2026

Registered at 1945 ROUTE 33,, NEPTUNE, NJ 07753 (Tel: 7327762342)

πŸ“
Updated Business Mailing Address April 21, 2026

Registered at 331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701 (Tel: 7328070877)

πŸ“
Updated Practice Location November 13, 2024

Registered at 26901 76TH AVE, NEW HYDE PARK, NY 110401433 (Tel: 8334626436)

πŸ“
Updated Business Mailing Address November 13, 2024

Registered at 26901 76TH AVE, NEW HYDE PARK, NY 110401433

πŸ“
Updated Practice Location June 30, 2022

Registered at 8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 900481804 (Tel: 3104234467)

πŸ“
Updated Business Mailing Address June 30, 2022

Registered at 4140 W 190TH ST, TORRANCE, CA 905045513

πŸ“
Updated Practice Location December 13, 2020

Registered at 757 WESTWOOD PLZ, LOS ANGELES, CA 900958358 (Tel: 3108259111)

πŸ“
Updated Business Mailing Address December 13, 2020

Registered at 757 WESTWOOD PLZ, LOS ANGELES, CA 900958358

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2020

Pediatrics (license number reported to NPPES: CA A169840)

βœ…
NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 27, 2017

Registered at 1400 PELHAM PKWY S, JACOBI MEDICAL CENTER, BRONX, NY 104611138 (Tel: 7189185000)

πŸ“
Business Mailing Address (Initial Record) March 27, 2017

Registered at 1400 PELHAM PKWY S, JACOBI MEDICAL CENTER, BRONX, NY 104611138

πŸ‘€
Provider Name / Credentials (Initial Record) March 27, 2017

Recorded as EVAN WILEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 27, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205367539
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2017
Last Update: June 24, 2026
Sole Proprietor: No

Mailing Address

331 Newman Springs Road, Bldg. 2, Suite 220

Red Bank, NJ 07701

Phone: 7328070877

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.