Individual provider Active NPI

Jiamin Li, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1649998014
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350220 Issued in NY
Practice address
837 58TH St # 3R
Brooklyn, NY 11220-3662
Phone
(718) 686-1533
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350220 NY Primary

Addresses

Primary practice location

837 58TH St # 3R
Brooklyn, NY 11220-3662

Mailing address

6740 6TH Ave
Brooklyn, NY 11220-5572
Phone (917) 592-3368

Other practice location 1

6304 5th Ave Ste 1
Brooklyn, NY 11220-5284
Phone (718) 576-3610

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000719 NY Practitioner - Nurse Practitioner 6709303506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xu Z. Chen Psychiatrist, LLCGroup PAC ID 4385682657, 15 clinicians

Practice addresses (Care Compare)

837 58TH St
FL 3
Brooklyn, NY 11220-3662
Phone (718) 686-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
350220NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xu Z. Chen Psychiatrist, LLC CurrentSince May 1, 2025 Accepting new patients
Chinese-American Sunshine House Inc CurrentSince May 1, 2025 Accepting new patients
Medexplus Medical PC PastSince Aug 1, 2022 Accepting new patients

Locations

6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1649998014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205572",
            "telephone_number": "917-592-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH ST # 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6304 5th Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205284",
            "country_code": "US",
            "telephone_number": "718-576-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JIAMIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.