Evergreen Medical Group PC
NPI 1295516409 · Physical Medicine & Rehabilitation Physician · River Edge, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Medical Group PC is a Physical Medicine & Rehabilitation Physician organization in River Edge, NJ (NPI 1295516409).
Provider details
- NPI number
- 1295516409
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grigory Shtender, Owner(201) 791-7771
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 31-00 BroadwayFair Lawn, NJ 07410-3963Phone: (201) 791-7771Fax: (201) 350-8614
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Frequently asked questions
- What is Evergreen Medical Group PC's NPI number?
- Evergreen Medical Group PC's National Provider Identifier (NPI) is 1295516409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Medical Group PC?
- Evergreen Medical Group PC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Medical Group PC located?
- Evergreen Medical Group PC's practice location on file with NPPES is 887 Kinderkamack Rd Ste 2, River Edge, NJ 07661-2307.
- What is Evergreen Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Medical Group PC is (201) 464-0860.
- Does Evergreen Medical Group PC accept Medicare?
- Evergreen Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Medical Group PC?
- The authorized official listed on Evergreen Medical Group PC's NPPES record is Grigory Shtender, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Medical Group PC's NPI active?
- Yes — Evergreen Medical Group PC's NPI (1295516409) is active in the NPPES registry as of the last update on 2025-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.