EVERGREEN PHYSICIANS OF NORTH JERSEY, PC
NPI 1912956152
Internal Medicine in Rochelle Park, NJ

Active since May 06, 2006
96 PARKWAY, EVERGREEN PHYSICIANS OF NORTH JERSEY, PC, ROCHELLE PARK, NJ 07662(973) 450-2540(919) 425-0478 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2020, Aug 25, 2019 (2 updates tracked since 2019).

About Evergreen Physicians Of North Jersey, Pc NPPES

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

EVERGREEN PHYSICIANS OF NORTH JERSEY, PC (NPI 1912956152) is a healthcare organization registered as an internal medicine in Rochelle Park, New Jersey and active in the NPI registry since May 2006. The organization lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1912956152
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEVERGREEN PHYSICIANS OF NORTH JERSEY, PC
Location Address96 PARKWAY, EVERGREEN PHYSICIANS OF NORTH JERSEY, PCRochelle Park, NJ 07662-4200
Mailing Address3114 Croasdaile Dr Ste 200, Evergreen Physicians Of North Jersey, PcDurham, NC 27705-2508 · (954) 838-2371
Fax(919) 425-0478
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (973) 251-1132
Enumeration DateMay 6, 2006
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1912956152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MB06960500
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.
96 PARKWAY, Rochelle Park, NJ 07662

Other Identifiers 1

Medicaid0102091NJ

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 14

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

Long Term Care Hospital
96 PARKWAY
ROCHELLE, NJ 07662
Skilled Nursing Facility
96 PARKWAY
ROCHELLE PARK, NJ 07662
Occupational Therapist
96 PARKWAY
ROCHELLE PARK, NJ 07662
Skilled Nursing Facility
96 PARKWAY
ROCHELLE PARK, NJ 07662
Internal Medicine
96 PARKWAY, ROCHELLE PARK MEDICAL CENTER PA
ROCHELLE PARK, NJ 07662
Internal Medicine
96 PARKWAY
ROCHELLE PARK, NJ 07662
Speech-Language Pathologist
96 PARKWAY
ROCHELLE PARK, NJ 07662
Occupational Therapist
96 PARKWAY
ROCHELLE PARK, NJ 07662

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 Physicians Of North Jersey, PC's NPI number?

The NPI number for Evergreen Physicians Of North Jersey, PC is 1912956152. It was assigned to this organization in the NPPES registry on May 6, 2006.

Where is Evergreen Physicians Of North Jersey, PC located?

Evergreen Physicians Of North Jersey, PC is located at 96 Parkway Evergreen Physicians Of North Jersey, PC, Rochelle Park, NJ 07662. The listed phone number is (973) 450-2540.

What is Evergreen Physicians Of North Jersey, PC'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 Evergreen Physicians Of North Jersey, PC was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.