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EVERGREEN MEDICAL PLLC
NPI 1164664652
Psychiatry & Neurology - Neurology in Brooklyn, NY

Active since March 30, 2009
755-759 61ST STREET, BROOKLYN, NY 11220(718) 680-8881(718) 680-7880 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Medical Pllc NPPES

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

EVERGREEN MEDICAL PLLC (NPI 1164664652) is a healthcare organization registered as a neurology in Brooklyn, New York and active in the NPI registry since March 2009. The organization lists May Lin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164664652
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEVERGREEN MEDICAL PLLC
Location Address755-759 61ST STREETBrooklyn, NY 11220-4211
Mailing Address755-759 61st StreetBrooklyn, NY 11220-4211 · (718) 680-8881 · Fax (718) 680-7880
Phone(718) 680-8881
Fax(718) 680-7880
Organization SubpartNo
Authorized OfficialMay LinOffice Manager · (718) 680-8881
Enumeration DateMarch 30, 2009
Last NPPES UpdateJune 3, 2009
✔ NPI 1164664652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
755-759 61ST STREET, Brooklyn, NY 11220
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Other Identifiers 4

Medicaid03032428NY
Medicaid02440279NY
Medicaid02681267NY
Medicaid03036766NY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

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 PLLC's NPI number?

The NPI number for Evergreen Medical PLLC is 1164664652. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Evergreen Medical PLLC located?

Evergreen Medical PLLC is located at 755-759 61st Street, Brooklyn, NY 11220. The listed phone number is (718) 680-8881.

What is Evergreen Medical PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

What insurance does Evergreen Medical PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Evergreen Medical PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Medical PLLC was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.