Organization Active NPI

Wensong Li Medicine PC

Doing business as United Interventional Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
National Provider Identifier
1609085810
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
227245 Issued in NY
Legal business name
WENSONG LI MEDICINE PC
Doing business as
United Interventional Pain Management
Practice address
42-35 Main Street
Suite 3a
Flushing, NY 11355-3969
Phone
(718) 886-7246
Fax
(718) 886-7247
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Dr. Wensong Li, MDNPI 1437146743
Title
President
Phone
(718) 886-7246

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 227245 NY Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 013918 NY
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 227245 NY

Addresses

Primary practice location

42-35 Main Street
Suite 3a
Flushing, NY 11355-3969

Mailing address

42-35 Main Street
Suite 3a
Flushing, NY 11355-3969
Phone (718) 886-7246

Other identifiers 2

IdentifierTypeStateIssuer
02652624MedicaidNY
3874586MedicaidNY

Other names 1

  • United Interventional Pain Management Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070529000511 NY Part B Supplier - Clinic/Group Practice 8820195761 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY; Flushing, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1099656Wensong Li Medicine PC42-35 Main Street, Suite 3a, Flushing, NY 11355Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

821 57th St
Ste 2
Brooklyn, NY 11220
Phone (718) 355-9119

13625 Maple Ave
Ste 201
Flushing, NY 11355
Phone (718) 886-8562

13620 Maple Ave
#C601
Flushing, NY 11355
Phone (718) 886-8562

17 Elizabeth St
Ste 601
New York, NY 10013
Phone (212) 966-8889

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1609085810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-35 MAIN STREET",
            "address_2": "SUITE 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-886-7246",
            "fax_number": "718-886-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-35 MAIN STREET",
            "address_2": "SUITE 3A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553969",
            "telephone_number": "718-886-7246",
            "fax_number": "718-886-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENSONG LI MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "WENSONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "227245",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "013918",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "227245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02652624",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3874586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Interventional Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.