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Evergreen Medical Group PC

Physical Medicine & Rehabilitation Physician in River Edge, NJ · enumerated 2023 · authorized official Grigory Shtender, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295516409

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Medical Group PC
Practice address 887 Kinderkamack Rd Ste 2, River Edge, NJ, 07661
Phone (201) 464-0860
Fax (888) 440-2752
Enumeration date Oct 12, 2023
Last updated in NPPES Feb 11, 2025

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Grigory Shtender
Title Owner
Phone (201) 791-7771

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Evergreen Medical Group PC?
Evergreen Medical Group PC is registered in NPPES as a Physical Medicine & Rehabilitation Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-11.