Organization Active NPI

Dr Li Internal Medicine PA

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1508510884
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR LI INTERNAL MEDICINE PA
Practice address
499 E Central Pkwy Ste 205
Altamonte Springs, FL 32701-3450
Phone
(407) 960-6709
Fax
(407) 960-6727
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Jianyu Li, MD
Title
Owner
Phone
(407) 960-6709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

499 E Central Pkwy Ste 205
Altamonte Springs, FL 32701-3450

Mailing address

499 E Central Pkwy Ste 205
Altamonte Springs, FL 32701-3450
Phone (407) 960-6709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1508510884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013450",
            "telephone_number": "407-960-6709",
            "fax_number": "407-960-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY STE 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013450",
            "telephone_number": "407-960-6709",
            "fax_number": "407-960-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LI INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JIANYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-960-6709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.