Lin Li, M.D., P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

25MA08998100 Issued in NJ

Legal business name

LIN LI, M.D., P.A.

Doing business as

Family Allergy and Asthma Care

Practice address

1303 State Route 27
Suite 5
Somerset, NJ 08873-3456

Phone

(732) 246-1932

Fax

(732) 246-1936

NPI assigned

Apr 13, 2017

Last updated

Sep 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lin Li, M.DNPI 1104100049

Title

President

Phone

(585) 315-2433

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Family Allergy and Asthma Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lin Li, M.D.

  • Allergy & Immunology Physician
  • Edison, NJ
  • NPI 1104100049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1659805869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOLORES DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172328",
            "telephone_number": "732-246-1932",
            "fax_number": "732-246-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 STATE ROUTE 27",
            "address_2": "SUITE 5",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733456",
            "telephone_number": "732-246-1932",
            "fax_number": "732-246-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN LI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-315-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA08998100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1659085869",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7193009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9540774",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280453",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1104100049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1104100049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLOVER HEALTH",
            "identifier": "1104100049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH MEDICAID PLAN",
            "identifier": "1104100049",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN/BEECH ST/GEHA/PHCS/CCN VA",
            "identifier": "1104100049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Allergy and Asthma Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.