Ivan Li, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

311752 Issued in NY

Practice address

214 Indian Head Rd
Commack, NY 11725-1310

Phone

(917) 607-3818

NPI assigned

Apr 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

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

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.

• Li Family Medical PLLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1225867393
  Medicare reassignment NPD
• Simon Li Medical PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1952887580
  Medicare reassignment NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1295587798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251310",
            "telephone_number": "917-607-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 INDIAN HEAD RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251310",
            "telephone_number": "917-607-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "IVAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "311752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Michele Levy, LCSW
• Teresa Marie Lewandowski, LMSW
• Lewin, Fagen & Lown, M.D. P.C.
• Lewis J Weinstein M D P C
• Alex Leyberman, LAC
• Stephanie Librera
• Stuart M Lichtman, MD
• Lighthouse Endoscopy, PC
• Marilyn Lika, NPP
• Lili Hearing Center,Inc.

• Nurse Practitioner in Commack, NY
• Providers in Commack, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.