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Evergreen Physicians of North Jersey, PC

Internal Medicine Physician in Rochelle Park, NJ · enumerated 2006 · authorized official Kathy Kondas, Officer.

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

National Provider Identifier

1912956152

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Physicians of North Jersey, PC
Practice address 96 Parkway, Evergreen Physicians of North Jersey, PC, Rochelle Park, NJ, 07662
Fax (919) 425-0478
Enumeration date May 6, 2006
Last updated in NPPES Dec 22, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 25MB06960500 (NJ) Primary

Authorized official

Name Kathy Kondas
Title Officer

Other identifiers

Identifier Type State Issuer
0102091 Medicaid NJ -

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

Where is Evergreen Physicians of North Jersey, PC located?
The practice location on file with NPPES is in Rochelle Park, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-22.