Individual provider Active NPI

Clayton Li, MD

  • Vascular & Interventional Radiology Physician
  • Hackensack, NJ
National Provider Identifier
1245727858
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
25MA12284900 Issued in NJ
Practice address
30 Prospect Ave Radiology Dept
Hackensack, NJ 07601
Phone
(551) 996-2200
NPI assigned
Apr 18, 2018
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA12284900 NJ
Vascular & Interventional Radiology Physician 2085R0204X 25MA12284900 NJ Primary

Addresses

Primary practice location

30 Prospect Ave Radiology Dept
Hackensack, NJ 07601

Mailing address

130 Kinderkamack Rd Ste 200
River Edge, NJ 07661
Phone (201) 488-2660

Other practice location 1

5 Marine View Plz Ste 100
Hoboken, NJ 07030-5752
Phone (201) 488-2660

Other practice location 2

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Other practice location 3

30 S Newman St
Hackensack, NJ 07601-3210
Phone (201) 488-2660

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613001486 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3577801992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
New York University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Radiology Group PAGroup PAC ID 9830096361, 48 clinicians
Imaging North LLCGroup PAC ID 9133514987, 43 clinicians
New Century Imaging LLCGroup PAC ID 4082517370, 61 clinicians

Practice addresses (Care Compare)

1900 Union Valley Rd
Suite 101
Hewitt, NJ 07421-3024
Phone (973) 320-6285

30 Prospect Ave
Hackensack, NJ 07601-1915

5 Marine View PLZ
Suite 100
Hoboken, NJ 07030-5752
Phone (201) 488-2660

555 Kinderkamack Rd
Oradell, NJ 07649-1517
Phone (201) 488-2660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 23, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 23, 2025 Accepting new patients
Imaging North LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Radiology Group PA Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
New Century Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Metro Blvd
Ste 1A
Clifton, NJ 07014

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

30 S Newman St
Hackensack, NJ 07601
Phone (201) 488-1188

5 Marine View Plz
Ste 100
Hoboken, NJ 07030

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

650 From Rd
Ste 130
Paramus, NJ 07652
Phone (551) 996-4788

130 Kinderkamack Rd
Ste 200
River Edge, NJ 07661

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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 6

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1245727858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "07661",
            "telephone_number": "201-488-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE RADIOLOGY DEPT",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "551-996-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Marine View Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305752",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Kinderkamack Rd",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491517",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Newman St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076013210",
            "country_code": "US",
            "telephone_number": "201-488-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12284900",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA12284900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.