Individual provider Active NPI

Yali Li, MD, PHD

  • Specialist
  • Huntington Station, NY
National Provider Identifier
1437137528
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
228399 Issued in NY
Practice address
2375 New York Ave
Huntington Station, NY 11746-4258
Phone
(631) 549-8120
Fax
(631) 549-7019
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 001354 NY
Specialist 174400000X 228399 NY Primary

Addresses

Primary practice location

2375 New York Ave
Huntington Station, NY 11746-4258

Mailing address

8 Delamar CT
Glen Cove, NY 11542-1792
Phone (631) 360-7380

Other identifiers 1

IdentifierTypeStateIssuer
02404828MedicaidNY

Other names 1

  • Dr. Yali Li Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000849 NY Practitioner - Physical Medicine and Rehabilitation 2769380906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2375 New York Ave
Huntington Station, NY 11746-4212
Phone (631) 549-8120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001354NYMDNutritionist
228399NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Medicine & Rehabilitation Current Accepting new patients
Green Napkin Chefs LLC PastSince Apr 5, 2020 Accepting new patients
Rehabilitation Medicine Associates, P.C. Specialist PastSince Jul 27, 2020 Accepting new patients

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1437137528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DELAMAR CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421792",
            "telephone_number": "631-360-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464258",
            "telephone_number": "631-549-8120",
            "fax_number": "631-549-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YALI",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001354",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "228399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02404828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YALI",
            "last_name": "LI",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.