NPIMap

Individual provider Active NPI

Sean Li, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Shrewsbury, NJ
National Provider Identifier
1386623130
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA08938000 Issued in NJ
Practice address
160 Avenue at the CMN
Suite 1
Shrewsbury, NJ 07702-4802
Phone
(732) 380-0200
Fax
(732) 380-0262
NPI assigned
Jan 11, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08938000 NJ Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0070677 MD

Addresses

Primary practice location

160 Avenue at the CMN
Suite 1
Shrewsbury, NJ 07702-4802

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SLi@nspc.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908001704 NJ Practitioner - Interventional Pain Management 4688633464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
State University of New York at Stony Brook, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Pain Centers, LLCGroup PAC ID 0648261792, 4 clinicians

Practice addresses (Care Compare)

1430 Hooper Ave
Suite 205
Toms River, NJ 08753-2895
Phone (732) 458-0322

170 Ave at the CMN
Suite 6
Shrewsbury, NJ 07702-4568
Phone (732) 380-0200

55 Schanck Rd
Suite a 18
Freehold, NJ 07728-2986
Phone (732) 431-9544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070677MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Centers, LLC. CurrentSince Sep 1, 2011 Accepting new patients
Premier Pain Centers, LLC. Pain Medicine CurrentSince Sep 1, 2011 Accepting new patients
Specialty Anesthesia Associates, LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

55 Schanck Rd
Ste 18
Freehold, NJ 07728

55 Schanck Rd
Ste A-18
Freehold, NJ 07728

160 Avenue At the Cmn
Ste 1
Shrewsbury, NJ 07702
Phone (848) 226-5595

170 Avenue At the Cmn
Ste 6
Shrewsbury, NJ 07702
Phone (732) 460-0045

1430 Hooper Ave
Ste 205
Toms River, NJ 08753
Phone (732) 473-9530

Interoperability endpoints

  • Direct secure messaging: sli@nspc.emadirect.md

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, 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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1386623130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE CMN",
            "address_2": "SUITE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024802",
            "telephone_number": "732-380-0200",
            "fax_number": "732-380-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08938000",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0070677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SLi@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "160 Avenue At The Cmn",
            "address_2": "Suite 1",
            "city": "Shrewsbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077024802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.