Li Medical of Ny PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

186190 Issued in NY

Legal business name

LI MEDICAL OF NY PC

Practice address

7020 Yellowstone Blvd
Forest Hills, NY 11375-3500

Phone

(718) 275-5551

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Simon Lipetz, MD

Title

Medical Director

Phone

(718) 275-5551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1457605669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753500",
            "telephone_number": "718-275-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753500",
            "telephone_number": "718-275-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI MEDICAL OF NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "LIPETZ",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-275-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "186190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Alyssa Ann-Marie Lewis
• Michelle Lee Lewis, M.S.ED, B.C.S.E
• Siri Anita Lewis, M.S.
• Marianna Leybman, M.A.
• LFL Internal Medicine Associates PC (Forest Hills Internal Medicine Associates)
• Charles Li, PTA
• Jiaxuan Li
• Michael Youzhu Li, M.D.
• Susana Li
• Xiaofeng Li, MD

• Multi-Specialty Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Multi-Specialty Clinic/Center in New York

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

Verify at the official NPI Registry.