Li/Queens Medical Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LI/QUEENS MEDICAL ASSOCIATES, PC

Practice address

300 Old Country Rd Ste 211
Mineola, NY 11501-4112

Phone

(516) 280-2599

NPI assigned

Sep 10, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Janet Casiano

Title

Billing Manager

Phone

(516) 280-2599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Bomparola, PA

  • Physician Assistant
  • Mineola, NY
  • NPI 1588973838
  Medicare reassignment Care Compare group
• Jennalynn Campos, RPAC

  • Physician Assistant
  • Mineola, NY
  • NPI 1992974315
  Medicare reassignment Care Compare group
• Vita Mia Cucchiara

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1346401205
  Medicare reassignment Care Compare group
• Michael Petelis, DO

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1699861237
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1649429010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 211",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014112",
            "telephone_number": "516-280-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD COUNTRY RD STE 211",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014112",
            "telephone_number": "516-280-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI/QUEENS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-280-2599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lewis
• Star-Kayla Essence Lewis, MD
• Cynthia Li
• Jianqing Li, M.D.
• Wai Kin Li, PHARMD
• Vladimir Liberman, D.O
• Michael Robert Licata, MSPAS, PA-C
• Cara H Lieberman, M.D.
• Mariel Jennifer Liebeskind
• Julie Nina Lieman, MD

• Specialist in Mineola, NY
• Providers in Mineola, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.