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Evergreen Vitality Primary Care

Primary Care Clinic/Center in Scarsdale, NY · enumerated 2026 · authorized official Changqing Li, Head.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053244384

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Vitality Primary Care
Practice address 152 Bradley Rd, Scarsdale, NY, 10583
Phone (347) 387-3954
Enumeration date Jun 5, 2026
Last updated in NPPES Jun 5, 2026

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Changqing Li
Title Head
Phone (347) 387-3954

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evergreen Vitality Primary Care?
The NPI for Evergreen Vitality Primary Care is 1053244384, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Vitality Primary Care?
NPPES lists Changqing Li (Head) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-05.