Active NPI
Yu Wen Li
- Dentist
- Flushing, NY
National Provider Identifier
1639822943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063529
- Practice address
- 13107 40TH Rd Ste E30
Flushing, NY 11354-5205 - Phone
- (718) 353-3332
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 063529 | NY | Primary |
Addresses
Primary practice location
13107 40TH Rd Ste E30
Flushing, NY 11354-5205
Mailing address
1268 Bay Ridge Ave
Brooklyn, NY 11219-6014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063529 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1639822943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 BAY RIDGE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112196014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13107 40TH RD STE E30",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545205",
"telephone_number": "718-353-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YU WEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.