NPIMap

Individual provider Active NPI

Shing Li, M.D.

  • Internal Medicine Physician
  • Randolph, NJ
National Provider Identifier
1184945552
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08777800 Issued in NJ
Practice address
121 Center Grove Rd
Randolph, NJ 07869-4453
Phone
(973) 361-3737
NPI assigned
Jun 18, 2010
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08777800 NJ Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000175 NJ Practitioner - NephrologyPractitioner - Family Practice 3577742261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 7416911813, 3 clinicians

Practice addresses (Care Compare)

121 Ctr Grove Rd
Randolph, NJ 07869-4453

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Medical & Renal Associates P.a. CurrentSince Jul 1, 2013 Accepting new patients

Locations

121 Center Grove Rd
Randolph, NJ 07869
Phone (973) 328-1414

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72190
  • Direct secure messaging: shing.li@rmra.directbygreenway.com

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1184945552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MATTHEW CT",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691058",
            "telephone_number": "646-236-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-361-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHING",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08777800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.