Active NPI
Wen Jian Li, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1154839207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 736931
- Practice address
- 139 Centre St Ste 307
New York, NY 10013-4554 - Phone
- (646) 653-0131
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 736931 | NY | Primary |
Addresses
Primary practice location
139 Centre St Ste 307
New York, NY 10013-4554
Mailing address
55 W 25TH St Apt 19K
New York, NY 10010-2142
Phone (646) 318-6495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736931 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1154839207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W 25TH ST APT 19K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102142",
"telephone_number": "646-318-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST STE 307",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134554",
"telephone_number": "646-653-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "WEN JIAN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "736931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.