NPIMap

Individual provider Active NPI

Jun Li, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Denville, NJ
National Provider Identifier
1043324338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA07498200 Issued in NJ
Practice address
25 Pocono Road
Pathology Department
Denville, NJ 07834-2954
Phone
(973) 625-6716
Fax
(973) 983-2367
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA07498200 NJ Primary

Addresses

Primary practice location

25 Pocono Road
Pathology Department
Denville, NJ 07834-2954

Mailing address

98 Ford Road
Denville, NJ 07834-1374
Phone (973) 625-3366

Other identifiers 1

IdentifierTypeStateIssuer
0037893MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000678 NJ Practitioner - Pathology 8628094638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Pathology Associates, LLCGroup PAC ID 2365589298, 18 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (201) 996-2000

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Pathology Associates, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 4, 2010 Accepting new patients
Scott F. Gelman, M,D., P.a. Past Accepting new patients
Practice Associates Medical Group Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • Direct secure messaging: jli191549@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043324338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FORD ROAD",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341374",
            "telephone_number": "973-625-3366",
            "fax_number": "973-625-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO ROAD",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6716",
            "fax_number": "973-983-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA07498200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037893",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.