Evergreen Physicians Of North Jersey, Pc
LBN: Evergreen Physicians Of North Jersey, Pc
Evergreen Physicians Of North Jersey, Pc is an health care organization with primary practice located at 96 Parkway Evergreen Physicians Of North Jersey, Pc, Rochelle Park NJ 07662-4200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Evergreen Physicians Of North Jersey, Pc can be contacted via phone (973) 450-2540, or through Kondas, Kathy via phone (973) 251-1132.
Contact Information
Primary practice address
96 Parkway Evergreen Physicians Of North Jersey, Pc
Rochelle Park NJ 07662-4200
Phone: (973) 450-2540
Fax: (919) 425-0478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB06960500 | New Jersey |
Profile Details
| NPI number | 1912956152 |
|---|---|
| LBN Legal business name | Evergreen Physicians Of North Jersey, Pc |
| DBA Doing business as | |
| Authorized official | Kondas, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Dec 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912956152 | NPPES |
| New Jersey | MEDICAID | 0102091 |
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