EVERGREEN MEDICAL SPECIALTIES LLC
NPI 1164340444
Internal Medicine - Hematology & Oncology in Rahway, NJ

Active since July 06, 2026
1053 WESTFIELD AVE, RAHWAY, NJ 07065(908) 888-0032 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Evergreen Medical Specialties Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN MEDICAL SPECIALTIES LLC (NPI 1164340444) is a healthcare organization registered as a hematology & oncology in Rahway, New Jersey and active in the NPI registry since July 2026. The organization lists Meena Ahluwalia, Owner, as its authorized official.

NPPES Registry Identity

NPI1164340444
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameEVERGREEN MEDICAL SPECIALTIES LLC
Location Address1053 WESTFIELD AVERahway, NJ 07065-2040
Mailing Address1053 Westfield AveRahway, NJ 07065-2040 · (908) 888-0032
Organization SubpartNo
Authorized OfficialMeena AhluwaliaOwner · (908) 888-0032
Enumeration DateJuly 6, 2026
Last NPPES UpdateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1164340444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1053 WESTFIELD AVE, Rahway, NJ 07065

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Medical Specialties Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Medical Specialties LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hematology/Oncology
NPI 1467628115
506 LENOX AVE HARLEM HOSPITAL
New York, NY 10037
(646) 267-9654
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Medical Specialties LLC's NPI number?

The NPI number for Evergreen Medical Specialties LLC is 1164340444. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Evergreen Medical Specialties LLC located?

Evergreen Medical Specialties LLC is located at 1053 Westfield Ave, Rahway, NJ 07065. The listed phone number is (908) 888-0032.

What is Evergreen Medical Specialties LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Evergreen Medical Specialties LLC enrolled in Medicare?

Yes. Evergreen Medical Specialties LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Medical Specialties LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Evergreen Medical Specialties LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Specialties LLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.