Orthopedic Li, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDIC LI, P.C.

Practice address

403 Deer Park Ave
Babylon, NY 11702-2356

Phone

(631) 661-2663

Fax

(631) 321-4971

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Saila Detore, DONPI 1063679942

Title

Owner

Phone

(631) 358-1868

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Saila Detore, D.O.

  • Orthopaedic Trauma Physician
  • Babylon, NY
  • NPI 1063679942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1548899883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022356",
            "telephone_number": "631-661-2663",
            "fax_number": "631-321-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022356",
            "telephone_number": "631-661-2663",
            "fax_number": "631-321-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC LI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "DETORE",
        "authorized_official_first_name": "SAILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-358-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Ohakam, LPN
• Andrea Wilkinson Ohle, LMFT
• Richard Michael Orlandi, DPM
• Vanessa Orlando
• Jenny E Ortega, AU.D.
• Ann Marie Pagano, LCSW
• Rachel Sonya Palladino, M.A., CCC-SLP, TSSLD
• Arthur William Pallotta, M.D.
• Allison Panasuk, RN, BSN, CBC
• Maureen Brady Pantaleo, B.A.P.T.

• Orthopaedic Surgery Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.