Individual provider Active NPI

Paul Li, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Flushing, NY
National Provider Identifier
1679702575
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
057660-01 Issued in NY
Practice address
14238 37TH Ave Ste 1G
Flushing, NY 11354-4580
Phone
(347) 943-1960
Fax
(347) 943-1961
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 057660-01 NY Primary

Addresses

Primary practice location

14238 37TH Ave Ste 1G
Flushing, NY 11354-4580

Mailing address

14238 37TH Ave Ste 1G
Flushing, NY 11354-4580
Phone (347) 943-1960

Other practice location 1

320 Lenox Ave
Westfield, NJ 07090-2138
Phone (908) 233-8088

Other practice location 2

3019 Brighton 1st St
Brooklyn, NY 11235-8008
Phone (718) 366-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000840 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022307685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057660-01NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Dental Practice LLC Oral and Maxillofacial Surgery PastSince Nov 28, 2021 Accepting new patients
Flushing Oral Surgery - Dental Implants Oral and Maxillofacial Surgery PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1679702575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "347-943-1960",
            "fax_number": "347-943-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE STE 1G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544580",
            "telephone_number": "347-943-1960",
            "fax_number": "347-943-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902138",
            "country_code": "US",
            "telephone_number": "908-233-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3019 Brighton 1st St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112358008",
            "country_code": "US",
            "telephone_number": "718-366-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "057660-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.