Evergreen Medical Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EVERGREEN MEDICAL CARE PLLC

Practice address

738 Smithtown Byp Ste 204
Smithtown, NY 11787-5024

Phone

(631) 413-4765

Fax

(516) 977-3448

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Tina Malek

Title

Manager

Phone

(631) 413-4765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Rashid Ahmed, MD

  • General Practice Physician
  • Bronx, NY
  • NPI 1861222820
  Medicare reassignment Care Compare group NPD
• Chaudhry Muhammad Shahbaz Sarwar, MD

  • Internal Medicine Physician
  • Stony Brook, NY
  • NPI 1568651305
  Medicare reassignment Care Compare group NPD
• Inamulhaque M Saboor, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1891867859
  Medicare reassignment NPD

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1952117343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SMITHTOWN BYP STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875024",
            "telephone_number": "631-413-4765",
            "fax_number": "516-977-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 SMITHTOWN BYP STE 204",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875024",
            "telephone_number": "631-413-4765",
            "fax_number": "516-977-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-413-4765"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Lee Esposito, RN
• Esther Sumitra-Albert MD, PLLC
• Nicole Estrada
• Emily Evans, LCSW
• Sarah Nicolle Evans, RN,BSN
• Victoria Joanne Ewart, MHC-LP
• Danielle Alexis Faber
• Haley Jane Faber
• Fabiano Counseling Inc.
• Stephanie Lynn Fabrizio, CF-SLP

• Family Medicine Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.