Evergreen Medical Group Pc - Medicare in River Edge, NJ

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Evergreen Medical Group Pc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in River Edge, New Jersey. Their current practice location is 887 Kinderkamack Rd Ste 2, River Edge, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 464-0860.

Evergreen Medical Group Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Evergreen Medical Group Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295516409.

Contact Information

Evergreen Medical Group Pc
887 Kinderkamack Rd Ste 2,
River Edge, NJ 07661-2307
(201) 464-0860
(888) 440-2752

Map and Direction




Healthcare Provider's Profile

Full NameEvergreen Medical Group Pc
TypeFacility
SpecialityPhysical Medicine & Rehabilitation
Location887 Kinderkamack Rd Ste 2, River Edge, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295516409
  • Provider Enumeration Date: 10/12/2023
  • Last Update Date: 02/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769929082
  • Enrollment ID: O20240805002666

Medical Identifiers

Medical identifiers for Evergreen Medical Group Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295516409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Primary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Evergreen Medical Group Pc acts as a billing entity for following providers:
Provider NameVasyl Pidkaminetskiy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023270253
PECOS PAC ID: 4082764485
Enrollment ID: I20090605000132
Provider NameGrigory Shtender
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1952316614
PECOS PAC ID: 1850375635
Enrollment ID: I20110729000288
Provider NameJerold H Kaminsky
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1760569594
PECOS PAC ID: 5193730448
Enrollment ID: I20130313000371
Provider NameAlex Tievsky
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1962798413
PECOS PAC ID: 9032428818
Enrollment ID: I20151016002185
Provider NameAgnieszka Golabek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346628567
PECOS PAC ID: 0547561011
Enrollment ID: I20151229001598
Provider NameKim Giblin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215584032
PECOS PAC ID: 0446646251
Enrollment ID: I20220404002337
Provider NameJeanne Rose Magante
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649569773
PECOS PAC ID: 3476703232
Enrollment ID: I20220815000026
Provider NameJennifer Judith Castaneda-ardizzone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659199065
PECOS PAC ID: 6901330364
Enrollment ID: I20241108000468
Provider NameJustin Bang
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1609548932
PECOS PAC ID: 9931637998
Enrollment ID: I20250106000101
Provider NameMichael Shapiro
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1184888968
PECOS PAC ID: 0547489387
Enrollment ID: I20250403002919

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evergreen Medical Group Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evergreen Medical Group Pc
887 Kinderkamack Rd Ste 2,
River Edge, NJ 07661-2307

Ph: (201) 464-0860		Evergreen Medical Group Pc
887 Kinderkamack Rd Ste 2,
River Edge, NJ 07661-2307

Ph: (201) 464-0860

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.