Li Ma, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11955 Issued in CT

Practice address

45 Route 25a Ste 1
Setauket, NY 11733-2821

Phone

(631) 905-6061

Fax

(631) 905-6061

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Li Dental Care, PLLC

  • Dentist
  • Setauket, NY
  • NPI 1720656317
  NPD Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1033626171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE 1",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332821",
            "telephone_number": "631-905-6061",
            "fax_number": "631-905-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ROUTE 25A STE 1",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332821",
            "telephone_number": "631-905-6061",
            "fax_number": "631-905-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Digestive Disease Consultants, P.C. (Long Island Endoscopy Center)
• Long Island Optometry Care, PLLC
• Sirka Louca, LCSW-R
• Brian Ludwig
• Loren Deidre Lyons, WHNP-BC
• Katherine Macdevitt, R.N
• Randolph Joshua Malsky
• Crista Elizabeth Maracic, PHD
• Sandra Temple Marinelli, DC
• Ann M Marks

• General Practice Dentistry in Setauket, NY
• Providers in Setauket, 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 Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.