Evergreen Medical Group PC
Physical Medicine & Rehabilitation in River Edge, New Jersey
1295516409- Practice location
- 887 Kinderkamack RD Ste 2, River Edge, NJ 07661-2307
- Phone
- 201-464-0860
- Fax
- 888-440-2752
- Last updated
- October 27, 2026
Evergreen Medical Group PC is a healthcare organization based in River Edge, NJ. Evergreen Medical Group PC practices in River Edge, NJ. The NPI Number for Evergreen Medical Group PC is 1295516409. The current practice location address for Evergreen Medical Group PC is 887 Kinderkamack RD Ste 2, River Edge, NJ 07661-2307 and can be reached out via phone at 201-464-0860 and via fax at 888-440-2752.
Provider Profile Details
- NPI Number
- 1295516409
- Provider Name
- Evergreen Medical Group PC
- Provider Entity Type
- Organization
- Address
- 887 Kinderkamack RD Ste 2, River Edge, NJ 07661-2307
- Phone Number
- 201-464-0860
- Fax Number
- 888-440-2752
- Primary Taxonomy
- Physical Medicine & Rehabilitation · 208100000X
- Organization Subpart
- No
- Authorized Official
- Grigory Shtender, MD · Owner · 201-791-7771
- Provider Enumeration Date
- October 12, 2023
- Last Update Date
- October 27, 2026
- Certification Date
- October 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 887 Kinderkamack RD Ste 2
River Edge, NJ 07661-2307 - City
- River Edge
- State
- New Jersey
- Zip
- 07661-2307
- Phone Number
- 201-464-0860
- Fax Number
- 888-440-2752
Provider Business Mailing Address Details
- Address
- 887 Kinderkamack RD Ste 2
River Edge, NJ 07661-2307 - City
- River Edge
- State
- NJ
- Zip
- 07661-2307
- Phone Number
- 201-464-0860
License Information
- Taxonomy (1)
- Chiropractor · 111N00000X
- Taxonomy (2)
- Internal Medicine · 207R00000X
- Taxonomy (3)
- Physical Medicine & Rehabilitation · 208100000X · Primary
- Taxonomy (5)
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Taxonomy (6)
- Physical Therapist · 225100000X
- Taxonomy (7)
- Nurse Practitioner, Adult Health · 363LA2200X
- Taxonomy (8)
- Nurse Practitioner, Family · 363LF0000X
- Taxonomy (9)
- Nurse Practitioner, Gerontology · 363LG0600X
- Taxonomy (10)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Medicine & Rehabilitation providers near River Edge, NJ
View all Physical Medicine & Rehabilitation providers in River Edge →- Jenna D'Elio, DPTPhysical Medicine & Rehabilitation · NPI 1497428502
- Sergo Korshia, RDMS/RVTRadiologic Technologist, Sonography · NPI 1558260687
- Sara Santana, ATC, MSSpecialist/Technologist, Athletic Trainer · NPI 1003711060
- Dr. Joseph A Spinapolice, DOFamily Medicine · NPI 1063678670
- Joshua B MasarofNurse Practitioner, Psych/Mental Health · NPI 1386557122
- Daniel A Rector, RNNurse Practitioner, Psych/Mental Health · NPI 1134957806
Frequently Asked Questions
What is the NPI number of Evergreen Medical Group PC?
The NPI number of Evergreen Medical Group PC is 1295516409. It was assigned on October 12, 2023 and is currently active in the NPPES registry.
What is the specialty of Evergreen Medical Group PC?
Evergreen Medical Group PC is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X).
Where does Evergreen Medical Group PC practice?
The practice location is 887 Kinderkamack RD Ste 2, River Edge, NJ 07661-2307. The office can be reached at 201-464-0860 (phone) or 888-440-2752 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295516409 directly on the NPPES registry website.