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NPI · 1295516409 · NPPES-sourced

Evergreen Medical Group PC

ActivePhysical Medicine & Rehabilitation
NPI Number
1295516409
Type 2 · Organisation
Taxonomy Code
208100000X
Contact
(201) 464-0860
Primary practice line
Last Updated
Enumerated
Primary practice addressNJ · 07661-2307
887 Kinderkamack Rd Ste 2River Edge, NJ 07661-2307
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About this NPIWhat this record shows.

NPI 1295516409 is registered to Evergreen Medical Group PC, a healthcare organisation classified as "Physical Medicine & Rehabilitation" and located at 887 Kinderkamack Rd Ste 2 in River Edge, New Jersey. The organisation's authorised official is Grigory Shtender. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Evergreen Medical Group PC accepts. To confirm in-network status with your specific health plan, contact Evergreen Medical Group PC directly at (201) 464-0860.

Frequently asked

Yes. NPI 1295516409 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Medicine & Rehabilitation is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (201) 464-0860.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Evergreen Medical Group PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208100000X
Last updated
Enumerated
StatusActive
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