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PRIMARY CARE SERVICES AT THE EVERGREENS
NPI 1457820847
Internal Medicine in Moorestown, NJ

Active since November 15, 2018
309 BRIDGEBORO ROAD, MOORESTOWN, NJ 08057(410) 778-7300(410) 778-0053 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2020, Nov 15, 2018 (2 updates tracked since 2018).

About Primary Care Services At The Evergreens NPPES

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

PRIMARY CARE SERVICES AT THE EVERGREENS (NPI 1457820847) is a healthcare organization registered as an internal medicine in Moorestown, New Jersey and active in the NPI registry since November 2018. The organization lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457820847
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHE EVERGREENS
Location Address309 BRIDGEBORO ROADMoorestown, NJ 08057
Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (267) 787-4097 · Fax (215) 699-2065
Phone(410) 778-7300
Fax(410) 778-0053
Organization SubpartNo
Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330
Enumeration DateNovember 15, 2018
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1457820847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
309 BRIDGEBORO ROAD, Moorestown, NJ 08057
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Other Names 1

Doing Business AsPrimary Care Services At The Evergreens

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 31D2189364

Primary Care Services At The Evergreens · Moorestown, NJ
Expired · Jul 28, 2026
CLIA Number31D2189364
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorHeather Vetter
Laboratory Phone(267) 787-4134
Laboratory LocationPrimary Care Services At The Evergreens309 Bridgeboro Road, Moorestown, NJ 08057
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACTS SIGNATURE COMMUNITY SERVICES, INC.
Internal Medicine
309 BRIDGEBORO ROAD
MOORESTOWN, NJ 08057
Burlington County (410) 778-7300

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 The Evergreens's NPI number?

The NPI number for The Evergreens is 1457820847. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Primary Care Services At The Evergreens.

Where is The Evergreens located?

The Evergreens is located at 309 Bridgeboro Road, Moorestown, NJ 08057. The listed phone number is (410) 778-7300.

What is The Evergreens's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for The Evergreens was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.