Conrad Li Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CONRAD LI INTERNAL MEDICINE PC

Practice address

13620 Maple Ave # C702
Flushing, NY 11355-5166

Phone

(347) 368-4288

Fax

(347) 368-4785

NPI assigned

Aug 25, 2021

Organization subpart

No

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

Authorized official

Name

Conrad Li, MDNPI 1013271741

Title

Ceo

Phone

(347) 368-4288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Conrad Li, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1013271741
  Medicare reassignment Authorized official
• Meijuan Lin

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1710772165
  Medicare reassignment
• Xiao Li Lin, PA

  • Medical Physician Assistant
  • Flushing, NY
  • NPI 1265786057
  Medicare reassignment

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1205503554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE # C702",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "347-368-4288",
            "fax_number": "347-368-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE # C702",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555166",
            "telephone_number": "347-368-4288",
            "fax_number": "347-368-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13348 37th Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544460",
            "country_code": "US",
            "telephone_number": "347-368-4288",
            "fax_number": "347-368-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONRAD LI INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-368-4288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.