Organization Active NPI

Joan Li, MD PC

  • Health Service Clinic/Center
  • Flushing, NY
National Provider Identifier
1467660712
Registry record updated Oct 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
211916 Issued in NY
Legal business name
JOAN LI, MD PC
Practice address
13527 38TH Ave Ste 398
Flushing, NY 11354-4448
Phone
(718) 445-9088
Fax
(718) 445-5348
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2011

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

Authorized official

Name
Joan Li, M.D.NPI 1952389355
Title
President
Phone
(718) 445-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 211916 NY Primary

Addresses

Primary practice location

13527 38TH Ave Ste 398
Flushing, NY 11354-4448

Mailing address

13527 38TH Ave Ste 398
Flushing, NY 11354-4448
Phone (718) 445-9088

Other identifiers 1

IdentifierTypeStateIssuer
02204337MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071012000261 NY Part B Supplier - Clinic/Group Practice 2860479151 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

3916 Prince St
Ste M51
Flushing, NY 11354
Phone (718) 445-9088

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318118400000",
    "number": "1467660712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE STE 398",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544448",
            "telephone_number": "718-445-9088",
            "fax_number": "718-445-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE STE 398",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544448",
            "telephone_number": "718-445-9088",
            "fax_number": "718-445-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN LI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-10-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-445-9088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "211916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204337",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2011; 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.