Individual provider Active NPI

Jie Li, APRN

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1215713276
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311559-01 Issued in NY
Practice address
5715 7TH Ave
Brooklyn, NY 11220-3902
Phone
(718) 567-8808
NPI assigned
Sep 6, 2023
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11013936 FL
Adult Health Nurse Practitioner 363LA2200X F311559-01 NY Primary
Gerontology Nurse Practitioner 363LG0600X APRN11013936 FL

Addresses

Primary practice location

5715 7TH Ave
Brooklyn, NY 11220-3902

Mailing address

128 Avens Dr
Nokomis, FL 34275-6800
Phone (941) 413-6693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001350 NY Practitioner - Nurse Practitioner 6709238561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

139 Centre St
Suite 704
New York, NY 10013-4557
Phone (212) 219-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11013936FLMDAdult Health Nurse Practitioner
F311559-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

5715 7th Ave
Brooklyn, NY 11220
Phone (212) 434-3420

3808 Union St
Ste 5A
Flushing, NY 11354
Phone (718) 888-7907

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

4266 Kissena Blvd
#1
Flushing, NY 11355
Phone (718) 333-5537

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1215713276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AVENS DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342756800",
            "telephone_number": "941-413-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203902",
            "telephone_number": "718-567-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11013936",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311559-01",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11013936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.