Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Medical Group PC

Organization Chiropractor · NPI 1295516409

Evergreen Medical Group PC is a Chiropractor in River Edge, New Jersey. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
10
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307
Phone: (201) 464-0860
Fax: (888) 440-2752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31-00 Broadway, Fair Lawn, NJ 07410-3963 — (201) 791-7771

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Chiropractor Taxonomy 111N00000X
Internal Medicine Physician Taxonomy 207R00000X
Vascular Surgery Physician Taxonomy 2086S0129X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Physical Therapist Taxonomy 225100000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1295516409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigory Shtender — Owner · (201) 791-7771
NPI enumeratedOctober 12, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address887 Kinderkamack Rd Ste 2, River Edge, NJ 07661-2307

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