Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGREEN VITALITY PRIMARY CARE, P. C.
NPI 1053244384
Clinic/Center - Primary Care in Hartsdale, NY

Q: What is Evergreen Vitality Primary Care, P. C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since June 05, 2026

280 N CENTRAL AVE STE 312, HARTSDALE, NY 10530(914) 439-2690(351) 200-1199 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Jun 5, 2026 (2 updates tracked since 2026).

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About Evergreen Vitality Primary Care, P. C. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN VITALITY PRIMARY CARE, P. C. (NPI 1053244384) is a healthcare organization registered as a primary care in Hartsdale, New York and active in the NPI registry since June 2026. The organization lists Changqing Li, President, as its authorized official.

NPPES Registry Identity

NPI1053244384

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEVERGREEN VITALITY PRIMARY CARE, P. C.

Location Address280 N CENTRAL AVE STE 312Hartsdale, NY 10530-1839

Mailing Address280 N Central Ave Ste 312Hartsdale, NY 10530-1839 · (914) 439-2690 · Fax (351) 200-1199

Phone(914) 439-2690

Fax(351) 200-1199

Organization SubpartNo

Authorized OfficialChangqing LiPresident · (347) 387-3954

Enumeration DateJune 5, 2026

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1053244384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedInternal MedicineTaxonomy 207R00000X

280 N CENTRAL AVE STE 312, Hartsdale, NY 10530

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANGQING LI MD

Internal Medicine

280 N CENTRAL AVE STE 312
HARTSDALE, NY 10530

Westchester County (914) 439-2690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Vitality Primary Care, P. C.'s NPI number?

The NPI number for Evergreen Vitality Primary Care, P. C. is 1053244384. It was assigned to this organization in the NPPES registry on June 5, 2026.

Where is Evergreen Vitality Primary Care, P. C. located?

Evergreen Vitality Primary Care, P. C. is located at 280 N Central Ave Ste 312, Hartsdale, NY 10530. The listed phone number is (914) 439-2690.

What is Evergreen Vitality Primary Care, P. C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Evergreen Vitality Primary Care, P. C. was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.