Evergreen Internal Medicine LLC
NPI 1225955172ActiveOrganization· Internal Medicine· Branchburg, NJ
Internal Medicine in Branchburg, New Jersey, registered in NPPES in July 2026. The authorized official on file is Camille Green, MD, Physician Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225955172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2026 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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