Evergreen Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVERGREEN INTERNAL MEDICINE LLC

Practice address

3322 US Highway 22 Ste 802
Branchburg, NJ 08876-4406

Phone

(908) 947-2090

Fax

(833) 455-6564

NPI assigned

Jul 1, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Camille Green, MDNPI 1811293921

Title

Physician Owner

Phone

(732) 688-0560

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Green, MD

  • Internal Medicine Physician
  • Branchburg, NJ
  • NPI 1811293921
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1225955172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 802",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764406",
            "telephone_number": "908-947-2090",
            "fax_number": "833-455-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 802",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764406",
            "telephone_number": "908-947-2090",
            "fax_number": "833-455-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "732-688-0560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Branchburg, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.