Active NPI
Joan Li, MD PC
- Health Service Clinic/Center
- Flushing, NY
National Provider Identifier
1467660712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 211916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joan Li, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02204337 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Flushing, NY
- NPI 1952389355
-
- Ophthalmology Physician
- Flushing, NY
- NPI 1881664092
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.