Shing Li, M.D.
Individual provider Active NPI Internal Medicine Physician · Randolph, NJ
NPI 1184945552 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1184945552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 25MA08777800 (NJ)
- Practice address
- 121 Center Grove Rd
Randolph, NJ 07869-4453 - Phone
- (973) 361-3737
- NPI assigned
- Jun 18, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- State University of New York Downstate Medical Center, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Randolph Medical and Renal Associates P.a.
Practice addresses (Care Compare)
121 Ctr Grove Rd
Randolph, NJ 07869-4453
Hospital & facility affiliations
- FMC Kenvil
- FMC Dover
- FMC Dialysis Associates North Jersey
- DaVita Renal Center of Succasunna
- Visiting Nurse Assoc of Northern New Jersey, Inc
- Atlantic Visiting Nurse
- Saint Clare'S Hospital/ Denville Campus
- Morristown Medical Center
- Ahs Hospital Corp
- Cooperman Barnabas Medical Center
- Kessler Rehab Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110127000175 | NJ | Practitioner - Nephrology |
3577742261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Medical & Renal Associates P.a. | Current |
Accepting new patients |
Locations
121 Center Grove Rd
Ste 13
Randolph, NJ 07869
Phone (973) 361-3737
121 Center Grove Rd
Ste 1314
Randolph, NJ 07869
Phone (973) 361-3737
121 Center Grove Rd
Randolph, NJ 07869
Phone (973) 328-1414
Interoperability endpoints
- shing.li@rmra.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA08777800 | NJ | Yes |
Addresses
Primary practice location
121 Center Grove Rd
Randolph, NJ 07869-4453
Mailing address
6 Matthew CT
Randolph, NJ 07869-1058
Phone (646) 236-2148
Other providers in Randolph, NJ
- Laurie R Leinwand
- Beth Leiter
- Jessica L Lentz
- Ilana Lev-El
- Steven F Lewis
- Robert M Liegner
- Life Coaching and Consulting Services
- Life Is Good Physical Therapy PC
- Little Steps by Liam ABA LLC
- Little Steps by Liam Behavioral Therapy LLC
All providers in Randolph, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.