Individual provider Active NPI

Wensong Li, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
National Provider Identifier
1437146743
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
227245 Issued in NY
Practice address
4235 Main St
Ste 3a
Flushing, NY 11355-3956
Phone
(718) 886-7246
Fax
(718) 886-7247
NPI assigned
Oct 3, 2005
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 227245-1 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 227245 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X 013918 NY
Interventional Pain Medicine Physician 208VP0014X 227545 NY

Addresses

Primary practice location

4235 Main St
Ste 3a
Flushing, NY 11355-3956

Mailing address

4235 Main St
Ste 3a
Flushing, NY 11355-3956
Phone (718) 886-7246

Other identifiers 1

IdentifierTypeStateIssuer
02652624MedicaidNY

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
I20050419001460 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0345208757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wensong Li Medicine PCGroup PAC ID 8820195761, 3 clinicians

Practice addresses (Care Compare)

4235 Main St
Suite 3a
Flushing, NY 11355-3969
Phone (718) 886-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013918NYMDSocial Worker
227245-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wensong Li Medicine PC Pain Medicine CurrentSince May 29, 2007 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
Osteopathic Medicine and Rehabilitation PC Physical Medicine & Rehabilitation Past Accepting new patients
Morris Anesthesia Group, PA Pain Medicine Past Accepting new patients
JM Occupational Therapy,PLLC Past Accepting new patients
Brooklyn Anesthesia Medical Group, PLLC Past Accepting new patients
New York Gao Physical Therapy PC PastSince Jun 1, 2014 Accepting new patients

Locations

757 60th St
Ste 7
Brooklyn, NY 11220
Phone (347) 657-7650

13620 Maple Ave
#C601
Flushing, NY 11355
Phone (718) 886-8562

13625 Maple Ave
Ste 201
Flushing, NY 11355
Phone (718) 886-8562

4235 Main St
Ste 3A
Flushing, NY 11355
Phone (718) 630-7616

17 Elizabeth St
Ste 601
New York, NY 10013
Phone (212) 966-8889

Networks

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

Organizations & group practices 7

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1437146743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "STE 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-7246",
            "fax_number": "718-886-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "STE 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-7246",
            "fax_number": "718-886-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WENSONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "227245-1",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "227245",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "013918",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "227545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02652624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.