Jianjun Li Gi Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

203883 Issued in NY

Legal business name

JIANJUN LI GI MEDICAL PC

Practice address

730 58TH St
Brooklyn, NY 11220-3917

Phone

(718) 567-8808

Fax

(718) 567-8820

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Winnie Chan

Title

Office Manager

Phone

(718) 567-8808

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Chixin Fang, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1043239528
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1538340203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-567-8808",
            "fax_number": "718-567-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203917",
            "telephone_number": "718-567-8808",
            "fax_number": "718-567-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIANJUN LI GI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-567-8808"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "203883",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "244434",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "257725",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08744000",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09606000",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09610400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02577640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susana X Jiang, RPH
• Ting Jiang
• Vivian Jiang
• Wu Jiang
• Xiaofeng Jiang
• Binxuan Jiao, MD, PHD
• Jalal Jibril, PHARMD
• Adaobi Jibulu
• Jie Ling Dental PC
• Irina Jiglinskaya, RN

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.