Evergreen Vitality Primary Care
NPI 1053244384 · Primary Care Clinic/Center · Scarsdale, NY
Evergreen Vitality Primary Care is a Primary Care Clinic/Center organization in Scarsdale, NY (NPI 1053244384).
Provider details
- NPI number
- 1053244384
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Changqing Li, Head(347) 387-3954
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Evergreen Vitality Primary Care's NPI number?
- Evergreen Vitality Primary Care's National Provider Identifier (NPI) is 1053244384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Vitality Primary Care?
- Evergreen Vitality Primary Care is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Evergreen Vitality Primary Care located?
- Evergreen Vitality Primary Care's practice location on file with NPPES is 152 Bradley Rd, Scarsdale, NY 10583-6236.
- What is Evergreen Vitality Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Vitality Primary Care is (347) 387-3954.
- Who is the authorized official for Evergreen Vitality Primary Care?
- The authorized official listed on Evergreen Vitality Primary Care's NPPES record is Changqing Li, Head. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Vitality Primary Care's NPI active?
- Yes — Evergreen Vitality Primary Care's NPI (1053244384) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.