Organization Active NPI

Tong Li MD PC

  • Medical Specialty Clinic/Center
  • Corona, NY
National Provider Identifier
1548520927
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
231795 Issued in NY
Legal business name
TONG LI MD PC
Practice address
3719 108TH St
Corona, NY 11368-4176
Phone
(718) 406-9032
NPI assigned
May 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Tong Li, M.D.NPI 1669564886
Title
Director
Phone
(718) 359-2523

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
Medical Specialty Clinic/Center 261QM2500X 231795 NY Primary

Addresses

Primary practice location

3719 108TH St
Corona, NY 11368-4176

Mailing address

14211 37TH Ave
Flushing, NY 11354-4102
Phone (718) 359-2523

Other practice location 1

14211 37th Ave
Flushing, NY 11354-4102
Phone (718) 359-2523

Other names 1

  • TONG LI, M.D.,PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130302000026 NY Part B Supplier - Clinic/Group Practice 2769637446 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, NY

National Provider Directory

National Provider Directory

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": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1548520927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14211 37TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544102",
            "telephone_number": "718-359-2523",
            "fax_number": "718-359-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 108TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684176",
            "telephone_number": "718-406-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14211 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544102",
            "country_code": "US",
            "telephone_number": "718-359-2523",
            "fax_number": "718-359-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TONG LI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "TONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-359-2523",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "231795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TONG LI, M.D.,PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.