Evergreen Vitality Primary Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EVERGREEN VITALITY PRIMARY CARE PC

Practice address

280 N Central Ave Ste 312
Hartsdale, NY 10530-1839

Phone

(914) 439-2690

Fax

(351) 200-1199

NPI assigned

Jun 5, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Changqing Li, MDNPI 1902480023

Title

President

Phone

(347) 387-3954

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Changqing Li, MD

  • Internal Medicine Physician
  • Hartsdale, NY
  • NPI 1902480023
  NPD Authorized official

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1053244384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE STE 312",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301839",
            "telephone_number": "914-439-2690",
            "fax_number": "351-200-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE STE 312",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301839",
            "telephone_number": "914-439-2690",
            "fax_number": "351-200-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN VITALITY PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHANGQING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-387-3954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Margaret Esca, AU.D.
• Maria Isabel Espinal, D.D.S
• Joseph Vincent Esposito, DDS
• Jennifer Esses, M.S. CCC-SLP
• Maya Esters
• Everyday Parenting Psychology, PLLC
• Rebecca Lydia Falcon
• Katherine Farish
• Massiel I Farrell, LMHC, CASAC 2
• Matthew Fass

• Primary Care Clinic/Center in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.