EVERGREEN MEDICAL GROUP PC
NPI 1295516409
Physical Medicine & Rehabilitation in River Edge, NJ
About Evergreen Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN MEDICAL GROUP PC (NPI 1295516409) is a healthcare organization registered as a physical medicine & rehabilitation in River Edge, New Jersey and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through March 30, 2027, maintains a secondary practice location in Fair Lawn, and lists Grigory Shtender, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Secondary Practice Location 1
Group Practice 2
Accepted Insurance
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 Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Evergreen Medical Group PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 9
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2321162
Evergreen Medical Group · River Edge, NJFrequently 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 Group PC's NPI number?
The NPI number for Evergreen Medical Group PC is 1295516409. It was assigned to this organization in the NPPES registry on October 12, 2023.
Where is Evergreen Medical Group PC located?
Evergreen Medical Group PC is located at 887 Kinderkamack Rd Ste 2, River Edge, NJ 07661. The listed phone number is (201) 464-0860.
What is Evergreen Medical Group PC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Evergreen Medical Group PC enrolled in Medicare?
Yes. Evergreen Medical Group PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Medical Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 9 Medicare specialties reassign their Medicare billing to Evergreen Medical Group PC. 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. The largest specialties are Nurse Practitioner (7), Chiropractic (2) and Family Practice (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Evergreen Medical Group PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2321162) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Evergreen Medical Group PC accept?
Health plans from Oscar Health list Evergreen Medical Group PC 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 Group PC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.