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

Evergreen Medical PLLC

Organization Nephrology Physician · NPI 1164664652

Evergreen Medical PLLC is a Nephrology Physician in Brooklyn, New York. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755-759 61st St
Brooklyn, NY 11220-4211
Phone: (718) 680-8881
Fax: (718) 680-7880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Nephrology Physician Taxonomy 207RN0300X
Rheumatology Physician Taxonomy 207RR0500X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1164664652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official May Lin — Office Manager · (718) 680-8881
NPI enumeratedMarch 30, 2009
Last updated in NPPESJune 3, 2009
Mailing address755-759 61st Street, Brooklyn, NY 11220-4211

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