Individual provider Active NPI

Yongming Li, MD, PHD, AC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bridgewater, NJ
National Provider Identifier
1124141478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA07422800 Issued in NJ
Practice address
Green Knoll Professional Park
720 Route 202-206 North Ste 1C
Bridgewater, NJ 08807
Phone
(908) 203-0471
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

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 25MA07422800 NJ Primary

Addresses

Primary practice location

Green Knoll Professional Park
720 Route 202-206 North Ste 1C
Bridgewater, NJ 08807

Mailing address

693 Foothill Rd
Bridgewater, NJ 08807-1874
Phone (908) 203-0471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060114000001 PA Practitioner - PathologyPractitioner - Dermatology 5496779613 Reassigns benefits to 1 organization
I20080827000051 NJ Practitioner - DermatologyPractitioner - Pathology 5496779613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology Laser and Cosmetic Surgery LLCGroup PAC ID 2365461456, 4 clinicians

Practice addresses (Care Compare)

915 Montgomery Ave
Suite 204
Penn Valley, PA 19072-1550
Phone (610) 664-4433

9892 Bustleton Ave
Suite 204
Philadelphia, PA 19115-2139
Phone (215) 676-2464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Skin Care Center PA CurrentSince Apr 5, 2010 Accepting new patients
Center for Dermatology, Laser and Cosmetic Surgery LLC CurrentSince Sep 1, 2010 Accepting new patients
Laboratory of Dermatopathology Adx, LLC PastSince Jul 4, 2026 Accepting new patients
Schweiger Dermatology, PC Past Accepting new patients
Pathology Solutions, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Mark and Kambour MD PA Anatomic Pathology & Clinical Pathology PastSince Oct 1, 2011 Accepting new patients
Pathology Solutions LLC Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 204
Phillipsburg, NJ 08865
Phone (908) 387-1001

915 Montgomery Ave
Ste 204
Penn Valley, PA 19072
Phone (610) 664-4433

9892 Bustleton Ave
Ste 204
Philadelphia, PA 19115
Phone (215) 676-2464

Organizations & group practices 8

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124141478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 FOOTHILL RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071874",
            "telephone_number": "908-203-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREEN KNOLL PROFESSIONAL PARK",
            "address_2": "720 ROUTE 202-206 NORTH STE 1C",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08807",
            "telephone_number": "908-203-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YONGMING",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA07422800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.