Sherry Li, M.D., PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07280700 Issued in NJ

Legal business name

SHERRY LI, M.D., PA

Practice address

171 Ridgedale Ave
Suite 1-E
Florham Park, NJ 07932-1764

Phone

(973) 377-3676

Fax

(973) 377-0477

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Zhexiang Li, MD

Title

President

Phone

(973) 377-3676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245247352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "address_2": "SUITE 1-E",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-3676",
            "fax_number": "973-377-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "address_2": "SUITE 1-E",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-3676",
            "fax_number": "973-377-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY LI, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ZHEXIANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-377-3676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07280700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8659303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.