Jason Z Li, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058540 Issued in NY

Practice address

6945 Myrtle Ave
Glendale, NY 11385-7265

Phone

(718) 821-4680

NPI assigned

Jul 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Zhi Li Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1013391549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORDEN AVE APT 21G",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016238",
            "telephone_number": "646-407-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857265",
            "telephone_number": "718-821-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JASON",
        "middle_name": "Z",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHI",
            "last_name": "LI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Valerie Levy
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• Meng Chieh Lin, DPT
• Amy C.H Liss, LMSW
• Maximilian Litovsky

• General Practice Dentistry in Glendale, NY
• Providers in Glendale, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.