Individual provider Active NPI

Ci Ai Li

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1669024691
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309237 Issued in NY
Practice address
5014 16TH Ave Ste 13
Brooklyn, NY 11204-1404
Phone
(914) 359-4420
Fax
(914) 355-3035
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309237 NY Primary

Addresses

Primary practice location

5014 16TH Ave Ste 13
Brooklyn, NY 11204-1404

Mailing address

21 Dix Cir
Dix Hills, NY 11746-6033
Phone (718) 618-0401

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
I20200729003650 NY Practitioner - Nurse Practitioner 8224365374 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

141 Dosoris LN
Glen Cove, NY 11542-1225
Phone (516) 676-1100

150 Dark Hollow Rd
Port Jefferson, NY 11777-2048
Phone (631) 473-5400

150 Eileen Way
Unit 1
Syosset, NY 11791-5313
Phone 5168555255109

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

273 Moriches Rd
Saint James, NY 11780-2117
Phone (800) 860-3274

50 Maine Ave
Rockville Centre, NY 11570-3608
Phone (516) 536-8000

Hospital & facility affiliations

  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F309237NYMDAdult Health Nurse Practitioner

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince May 1, 2020 Accepting new patients
Progressive Care Medical Group, PLLC CurrentSince Aug 7, 2023 Accepting new patients
Brookhaven Heart PLLC CurrentSince Jan 1, 2024 Accepting new patients
Li Adult Health NP P.C. Adult Health Current Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2020 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince May 1, 2021 Accepting new patients
Medical Care Associates PLLC CurrentSince Jun 1, 2025 Accepting new patients
Southwest Suffolk Medical PC CurrentSince Nov 17, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince May 1, 2020 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 1, 2020 Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

5014 16th Ave
Ste 13
Brooklyn, NY 11204
Phone 9143594420103

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

100 Southern Blvd
Nesconset, NY 11767
Phone (631) 361-8100

325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA

Organizations & group practices 11

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 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1669024691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DIX CIR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466033",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 16TH AVE STE 13",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041404",
            "telephone_number": "914-359-4420",
            "fax_number": "914-355-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CI AI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.