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

Dr. Vasyl Pidkaminetskiy, MD

Individual provider Internal Medicine Physician · NPI 1023270253

Dr. Vasyl Pidkaminetskiy, MD is an Internal Medicine in River Edge, New Jersey. Qualified in 1989, 37 years ago. Practices with Evergreen Medical Group PC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 249830 (NY)

Record details

NPI number1023270253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2008
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Evergreen Medical Group Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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