Evergreen Medical Group Pc

LBN: Evergreen Medical Group Pc
Evergreen Medical Group Pc is an health care organization with primary practice located at 887 Kinderkamack Rd Ste 2 , River Edge NJ 07661-2307. The organization recently has 10 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Vascular Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Evergreen Medical Group Pc can be contacted via phone (201) 464-0860, or through Shtender, Grigory via phone (201) 791-7771.

Contact Information

Primary practice address
887 Kinderkamack Rd Ste 2 River Edge NJ 07661-2307
Phone: (201) 464-0860
Fax: (888) 440-2752
Website:
Map and Directions
Authorized official contact:
Name: Shtender, Grigory Doctor of Medicine (MD)
Phone: (201) 791-7771

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1295516409
LBN Legal business name Evergreen Medical Group Pc
DBA Doing business as
Authorized official Shtender, Grigory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2023
Last updated Feb 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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