Active NPI
Michelle Li, M.D.
- Adult Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 197405
- Practice address
- 420 E 51St St
Office a
New York, NY 10022-8014 - Phone
- (212) 688-8887
- Fax
- (212) 688-1243
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 197405 | NY | Primary |
Addresses
Primary practice location
420 E 51St St
Office a
New York, NY 10022-8014
Mailing address
420 E 51St St
Office a
New York, NY 10022-8014
Phone (212) 688-8887
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197405A20 | Other | NY | HEALTHFIRST |
| 52772 | Other | NY | GHI HMO |
| 10774P | Other | NY | HIP |
| P401354 | Other | NY | OXFORD |
| 133887329 | Other | NY | TAX IDENITIFICATION |
| 2C3376 | Other | NY | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197405 | NY | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Physicians of Nyc, PLLC | Current | Accepting new patients | |
| Eastside Physicians of Nyc, PLLC | Current | Accepting new patients |
Locations
1226 3rd Ave
New York, NY 10021
Phone (212) 757-2015
420 E 51st St
Ste A
New York, NY 10022
Phone (212) 688-8887
715 9th Ave
New York, NY 10019
Phone (212) 757-2015
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Bronx, NY
- NPI 1669961579
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- New York, NY
- NPI 1144947029
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1205375557
-
- Internal Medicine Physician
- New York, NY
- NPI 1730820614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609980044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 E 51ST ST",
"address_2": "OFFICE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228014",
"telephone_number": "212-688-8887",
"fax_number": "212-688-1243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 51ST ST",
"address_2": "OFFICE A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228014",
"telephone_number": "212-688-8887",
"fax_number": "212-688-1243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "197405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "197405A20",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "52772",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "10774P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P401354",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENITIFICATION",
"identifier": "133887329",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C3376",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.