EVERGREEN MEDICAL CARE PLLC – NPI #1952117343
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

EVERGREEN MEDICAL CARE PLLC is a provider located in SMITHTOWN, NY. NPPES has assigned the NPI number 1952117343 to EVERGREEN MEDICAL CARE PLLC on December 10, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN MEDICAL CARE PLLC below.

NPI Profile for
EVERGREEN MEDICAL CARE PLLC

NPI Number
1952117343
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN MEDICAL CARE PLLC
Primary location
738 SMITHTOWN BYP STE 204
SMITHTOWN, NY 11787-5024
Phone: (631) 413-4765 Fax: (516) 977-3448
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA MALEK
MANAGER
Phone: (631) 413-4765
Updated
Certification Date
Jun 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.