EVERGREEN FAMILY MEDICAL SERVICES,P.C.
NPI 1891761243
Family Medicine in Brooklyn, NY

Active since February 26, 2006
743 58TH ST, BROOKLYN, NY 11220(718) 765-0088(718) 567-8208 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Family Medical Services,p.c. NPPES

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

EVERGREEN FAMILY MEDICAL SERVICES,P.C. (NPI 1891761243) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since February 2006. The organization lists Raymond Chan, Medical Diretor, as its authorized official.

NPPES Registry Identity

NPI1891761243
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERGREEN FAMILY MEDICAL SERVICES,P.C.
Location Address743 58TH STBrooklyn, NY 11220-3916
Mailing Address743 58th StBrooklyn, NY 11220-3916 · (718) 765-0088 · Fax (718) 567-8208
Fax(718) 567-8208
Organization SubpartNo
Authorized OfficialRaymond ChanMedical Diretor · (718) 765-0088
Enumeration DateFebruary 26, 2006
Last NPPES UpdateOctober 1, 2012
NPI 1891761243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
743 58TH ST, Brooklyn, NY 11220

Other Identifiers 3

Medicaid02720354NY
Medicare ID-Type Unspecified3334P1NY
Medicare UPINI48504

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

Other Providers at the Same Location NPPES 4

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

Internal Medicine
743 58TH ST
BROOKLYN, NY 11220
Family Medicine
743 58TH ST
BROOKLYN, NY 11220
Nurse Practitioner (Family)
743 58TH ST
BROOKLYN, NY 11220
Internal Medicine
743 58TH ST
BROOKLYN, NY 11220

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 Family Medical Services,p.C.'s NPI number?

The NPI number for Evergreen Family Medical Services,p.C. is 1891761243. It was assigned to this organization in the NPPES registry on February 26, 2006.

Where is Evergreen Family Medical Services,p.C. located?

Evergreen Family Medical Services,p.C. is located at 743 58th St, Brooklyn, NY 11220. The listed phone number is (718) 765-0088.

What is Evergreen Family Medical Services,p.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Family Medical Services,p.C. was last updated on October 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.