Smile Li Dentistry LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

22DI02496000 Issued in NJ

Legal business name

SMILE LI DENTISTRY LLC

Practice address

525 Wanaque Ave
Ste 101
Pompton Lakes, NJ 07442-1843

Phone

(646) 287-9300

NPI assigned

Feb 11, 2017

Organization subpart

No

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

Authorized official

Name

Yan Li

Title

Owner

Phone

(646) 287-9300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1457899379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SGT HARTZ DR",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109831813",
            "telephone_number": "646-287-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WANAQUE AVE",
            "address_2": "STE 101",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421843",
            "telephone_number": "646-287-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LI DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-287-9300"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02496000",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "22DI02496000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Serino
• Jerold R. Shapiro, DMD
• Tinamarie Shea
• Joanne Cathleen Shields, LPC
• Timothy Joseph Slavin, LCADC
• Smile Zone PC
• Jill P Snyder, ATC CERTIFIED ATHLET
• Grigoriy Soybelman, M.D.
• Amy Beth Steinfeld-Klein, MA, LCSW,CASAC
• Marjorie Lewis Steinfeld, PHD

• Customized Equipment (DME) in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.