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

Evergreen Physicians of North Jersey, PC

Organization Internal Medicine Physician · NPI 1912956152

Evergreen Physicians of North Jersey, PC is an Internal Medicine Physician in Rochelle Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
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

96 Parkway Evergreen Physicians Of North Jersey Pc
Rochelle Park, NJ 07662-4200
Phone: (973) 450-2540
Fax: (919) 425-0478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MB06960500 (NJ)

Record details

NPI number1912956152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedMay 6, 2006
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address3114 Croasdaile Dr Ste 200, Evergreen Physicians Of North Jersey, Pc, Durham, NC 27705-2508

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