Organization Active NPI

Anewglow Dermatology PLLC

Doing business as Cindy Li, D.O.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1043832645
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ANEWGLOW DERMATOLOGY PLLC
Doing business as
Cindy Li, D.O.
Practice address
86 Bowery FL 3
New York, NY 10013-4615
Phone
(212) 226-4890
Fax
(212) 226-4891
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Dr. Cindy Li, DONPI 1265509111
Title
Physician
Phone
(626) 327-5679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

86 Bowery FL 3
New York, NY 10013-4615

Mailing address

PO Box 130312
New York, NY 10013-0991
Phone (626) 327-5679

Other names 1

  • Cindy Li, D.O. Doing business as

National Provider Directory

National Provider Directory

Locations

86 Bowery
Fl 3
New York, NY 10013
Phone (212) 226-4890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1043832645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100130991",
            "telephone_number": "626-327-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOWERY FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134615",
            "telephone_number": "212-226-4890",
            "fax_number": "212-226-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEWGLOW DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-327-5679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cindy Li, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.