Individual provider Active NPI

Susan Li

  • General Practice Dentistry
  • Hillsborough, NJ
National Provider Identifier
1679008585
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02714900 Issued in NJ
Practice address
706 US Highway 206
Hillsborough, NJ 08844-1549
Phone
(646) 883-8292
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02714900 NJ Primary

Addresses

Primary practice location

706 US Highway 206
Hillsborough, NJ 08844-1549

Mailing address

706 US Highway 206
Hillsborough, NJ 08844-1549
Phone (646) 883-8292

Other practice location 1

88 Route 9 North
Englishtown, NJ 07726-8229
Phone (646) 883-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02714900NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1679008585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 US HIGHWAY 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441549",
            "telephone_number": "646-883-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 US HIGHWAY 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441549",
            "telephone_number": "646-883-8292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Route 9 North",
            "address_purpose": "LOCATION",
            "city": "Englishtown",
            "state": "NJ",
            "postal_code": "077268229",
            "country_code": "US",
            "telephone_number": "646-883-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02714900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.