Individual provider Active NPI

Norman Li, DPM

  • Foot & Ankle Surgery Podiatrist
  • Warren, NJ
National Provider Identifier
1225614878
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00379100 Issued in NJ
Practice address
9 Mount Bethel Rd # 209
Warren, NJ 07059-5603
Phone
(908) 605-0799
Fax
(908) 450-1558
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00379100 NJ Primary

Addresses

Primary practice location

9 Mount Bethel Rd # 209
Warren, NJ 07059-5603

Mailing address

9 Mount Bethel Rd # 209
Warren, NJ 07059-5603
Phone (908) 605-0799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228001356 NJ Practitioner - Podiatry 9638514888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth Donovan DPM LLCGroup PAC ID 0446411086, 7 clinicians

Practice addresses (Care Compare)

9 Mount Bethel Rd
Suite 209
Warren, NJ 07059-5603
Phone (908) 605-0799

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue261
Removal of skin lesions30
Removal of nail tissue1462
Removal or shaving of skin growth692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Podiatrist Foot & Ankle Surgery CurrentSince Mar 1, 2024 Accepting new patients
Kenneth Donovan DPM LLC Foot & Ankle Surgery CurrentSince Mar 1, 2024 Accepting new patients
James F. Donovan Past Accepting new patients

Locations

200 S Orange Ave
Ste 107
Livingston, NJ 07039
Phone (908) 686-7542

104 Commons Way
Bldg A
Toms River, NJ 08755
Phone (732) 349-1123

104 Commons Way
Toms River, NJ 08755
Phone (732) 349-1123

104 Commons Way
Ste A
Toms River, NJ 08755

104 Commons Way
#A
Toms River, NJ 08755
Phone (908) 605-0799

9 Mount Bethel Rd
#209
Warren, NJ 07059
Phone (908) 605-0799

9 Mount Bethel Rd
Ste 209
Warren, NJ 07059
Phone (516) 263-4191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1225614878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOUNT BETHEL RD # 209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595603",
            "telephone_number": "908-605-0799",
            "fax_number": "908-450-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOUNT BETHEL RD # 209",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595603",
            "telephone_number": "908-605-0799",
            "fax_number": "908-450-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00379100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.