Li Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

244852 Issued in NY

Legal business name

LI DERMATOLOGY, PLLC

Practice address

4160 Main St
Suite 301
Flushing, NY 11355-3833

Phone

(347) 389-3888

Fax

(718) 889-2411

NPI assigned

Apr 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sherry Li, MDNPI 1992742217

Title

Owner

Phone

(347) 389-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry S Li, M.D., PH.D.

  • Dermatology Physician
  • Flushing, NY
  • NPI 1992742217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1447549134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST",
            "address_2": "SUITE 301",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553833",
            "telephone_number": "347-389-3888",
            "fax_number": "718-889-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MAIN ST",
            "address_2": "SUITE 301",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553833",
            "telephone_number": "347-389-3888",
            "fax_number": "718-889-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-03",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-389-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "244852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ira Lewis, PH.D.
• Steve Lewitton, M.D.
• Lazaro Lezcano, MD
• LH Medical Doctor PC
• Li Adult Health NP P.C.
• Alanna Li, D.D.S.
• Amy Li
• Baiyang Li
• Baoqing Li, M.D.
• Cai Li

• Dermatology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.