NPIMap

Individual provider Active NPI

Lian Jie Li, MD

  • MOHS-Micrographic Surgery Physician
  • Phillipsburg, NJ
National Provider Identifier
1649259383
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MA66021 Issued in NJ
Practice address
755 Memorial Pkwy
BLDG 204
Phillipsburg, NJ 08865-2748
Phone
(908) 387-1001
Fax
(908) 387-1195
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MA66021 NJ Primary

Addresses

Primary practice location

755 Memorial Pkwy
BLDG 204
Phillipsburg, NJ 08865-2748

Mailing address

P O Box 5118
Phillipsburg, NJ 08865-2748
Phone (908) 387-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050302000853 NJ Practitioner - Dermatology 0749278901 Reassigns benefits to 3 organizations
I20060824000439 PA Practitioner - Dermatology 0749278901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Skin Care Center PAGroup PAC ID 0446345342, 2 clinicians
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

2209 Lehigh St
Easton, PA 18042-3819
Phone (908) 387-1001

40 Pittstown Rd
Clinton, NJ 08809-1209
Phone (908) 730-1301

755 Memorial Pkwy
Phillipsburg, NJ 08865-2773
Phone (908) 387-1001

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision319
Removal of skin lesions2022
Removal of skin cancer574
Removal or shaving of skin growth1-10
Skin biopsy540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA66021NJMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Sep 1, 2016 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Jan 1, 2019 Accepting new patients
Warren Skin Care Center PA CurrentSince Jul 26, 2006 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Sep 1, 2016 Accepting new patients
Andrew Lian-Jie Li LLC Mohs-Micrographic Surgery PastSince Jul 28, 2006 Accepting new patients
Bruce E. Katz, MD, PC Past Accepting new patients
Associates in Dermatology, PLLC PastSince May 1, 2016 Accepting new patients

Locations

40 Pittstown Rd
Clinton, NJ 08809
Phone (908) 730-1301

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

755 Memorial Pkwy
Ste 204
Phillipsburg, NJ 08865
Phone (908) 387-1001

1 Worlds Fair Dr
Ste 2400
Somerset, NJ 08873
Phone (732) 235-7993

2045 Westgate Dr
Ste 303
Bethlehem, PA 18017

2209 Lehigh St
Easton, PA 18042
Phone (610) 253-2251

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1649259383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 5118",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-387-1001",
            "fax_number": "908-387-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MEMORIAL PKWY",
            "address_2": "BLDG 204",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652748",
            "telephone_number": "908-387-1001",
            "fax_number": "908-387-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LIAN JIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "MA66021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.