Jason Li, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB09945500 Issued in NJ

Practice address

3626 US Highway 1
Princeton, NJ 08540-5922

Phone

(609) 945-3611

NPI assigned

Mar 31, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Peripheral Vascular Disease

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heritage Wound Care LLCGroup PAC ID 4688905920, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

51.39 of 100Reported as group

Quality

64.84

Promoting interoperability

0

Improvement activities

0

Cost

73.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Heritage Wound Care LLC

  • Vascular Surgery Physician
  • Jersey City, NJ
  • NPI 1801447784
  Medicare reassignment Care Compare group NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Ocean, NJ
  • NPI 1316285091
  Medicare reassignment NPD
• Kane Wound Care LLC

  dba d/b/a Princeton Wound Care Center

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1275869802
  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  NJ

  Medicare reassignment NPD
• Central Jersey Urgent Care

  • Urgent Care Clinic/Center
  • Skillman, NJ
  • NPI 1407421985
  NPD

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621123200000",
    "number": "1639597370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RUSSELL CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477101",
            "telephone_number": "917-843-0287",
            "fax_number": "732-328-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 US HIGHWAY 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-945-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Beacon Ln",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "NJ",
            "postal_code": "077472301",
            "country_code": "US",
            "telephone_number": "917-843-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-05-16",
        "certification_date": "2021-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09945500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Levine, LSW
• Steven P. Levine, M.D.
• Stuart E Levine, M.D.
• Susan L Levine, LCSW, LMFT
• Peter M Lewis, DMD
• Robin Li, PHD
• Michael Libertazzo, ED.D.
• Howard Lieberman, MD, FACS
• Kevin Liebmann
• Alison Jean Liedtka, PT, DPT

• Family Medicine Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2021; 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.
• 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.