Individual provider Active NPI

Lin Li, M.D.

  • Allergy & Immunology Physician
  • Edison, NJ
National Provider Identifier
1104100049
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA08998100 Issued in NJ
Practice address
15 Dolores Dr
NJ 08817
Edison, NJ 08817
Phone
(585) 315-2433
NPI assigned
Oct 10, 2011
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08998100 NJ
Allergy & Immunology Physician 207K00000X 25MA08998100 NJ Primary

Addresses

Primary practice location

15 Dolores Dr
NJ 08817
Edison, NJ 08817

Mailing address

15 Dolores Dr
NJ 08817
Edison, NJ 08817
Phone (585) 315-2433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000309 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1254507767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1303 State Route 27
Suite 5
Somerset, NJ 08873-3456
Phone (732) 246-1932

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lin Li, M.D., P.a. CurrentSince Jul 1, 2017 Accepting new patients

Locations

48 Bridge St
Bldg A
Metuchen, NJ 08840

1303 State Route 27
Ste 5
Somerset, NJ 08873
Phone (732) 246-1932

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1104100049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOLORES DR",
            "address_2": "NJ 08817",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "585-315-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DOLORES DR",
            "address_2": "NJ 08817",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "585-315-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08998100",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08998100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.