Organization Active NPI

L&L Medical Care PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1093209280
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
246551 Issued in NY
Legal business name
L&L MEDICAL CARE PC
Doing business as
L&L Medicalcare PC
Practice address
818 60TH St Unit C3
Brooklyn, NY 11220-4311
Phone
(718) 851-8928
Fax
(718) 851-0618
NPI assigned
Jun 20, 2018
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Dr. Yiding Li, MDNPI 1295939494
Title
President
Phone
(718) 851-8928

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
Family Medicine Physician 207Q00000X 246551 NY Primary

Addresses

Primary practice location

818 60TH St Unit C3
Brooklyn, NY 11220-4311

Mailing address

5115 7TH Ave FL 1
Brooklyn, NY 11220-2806
Phone (718) 851-8928

Other practice location 1

5115 7th Ave Fl 1
Brooklyn, NY 11220-2806
Phone (718) 851-8928

Other identifiers 1

IdentifierTypeStateIssuer
03099254MedicaidNY

Other names 1

  • L&L Medicalcare PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180717001982 NY Part B Supplier - Clinic/Group Practice 6608123039 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2147769L and L Medicalcare PC818 60TH St, Unit C3 - 2ND Floor, Brooklyn, NY 11220Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5115 7th Ave
Brooklyn, NY 11220
Phone (718) 436-3497

818 60th St
Unit C3
Brooklyn, NY 11220
Phone (718) 851-8928

Practitioners & affiliated clinicians

Practitioners 2

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": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1093209280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 7TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202806",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 60TH ST UNIT C3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204311",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 7th Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202806",
            "country_code": "US",
            "telephone_number": "718-851-8928",
            "fax_number": "718-851-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "L&L MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YIDING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-851-8928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "246551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03099254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L&L Medicalcare PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "L&L Medicalcare PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.