EVERGREEN MEDICAL CARE PLLC
NPI 1952117343
Family Medicine in Smithtown, NY

Active since December 10, 2024
738 SMITHTOWN BYP STE 204, SMITHTOWN, NY 11787(631) 413-4765(516) 977-3448 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2025, Dec 10, 2024 (2 updates tracked since 2024).

About Evergreen Medical Care Pllc NPPES

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

EVERGREEN MEDICAL CARE PLLC (NPI 1952117343) is a healthcare organization registered as a family medicine in Smithtown, New York and active in the NPI registry since December 2024. The organization lists Tina Malek, Manager, as its authorized official.

NPPES Registry Identity

NPI1952117343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERGREEN MEDICAL CARE PLLC
Location Address738 SMITHTOWN BYP STE 204Smithtown, NY 11787-5024
Mailing Address738 Smithtown Byp Ste 204Smithtown, NY 11787-5024 · (631) 413-4765 · Fax (516) 977-3448
Fax(516) 977-3448
Organization SubpartNo
Authorized OfficialTina MalekManager · (631) 413-4765
Enumeration DateDecember 10, 2024
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1952117343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

738 SMITHTOWN BYP STE 204, Smithtown, NY 11787

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine
738 SMITHTOWN BYP STE 204
SMITHTOWN, NY 11787
Radiology (Vascular & Interventional Radiology)
738 SMITHTOWN BYP STE 204
SMITHTOWN, NY 11787
Internal Medicine (Cardiovascular Disease)
738 SMITHTOWN BYP STE 204
SMITHTOWN, NY 11787

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 Medical Care PLLC's NPI number?

The NPI number for Evergreen Medical Care PLLC is 1952117343. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Evergreen Medical Care PLLC located?

Evergreen Medical Care PLLC is located at 738 Smithtown Byp Ste 204, Smithtown, NY 11787. The listed phone number is (631) 413-4765.

What is Evergreen Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Medical Care PLLC was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.