Active NPI
Paul Li, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Flushing, NY
National Provider Identifier
1679702575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 057660-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160520000840 | NJ | Order and Referring Only - Oral Surgery | 8022307685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057660-01 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Dental Practice LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Flushing Oral Surgery - Dental Implants | Oral and Maxillofacial Surgery | Past | 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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Flushing, NY
- NPI 1326550302
-
- Oral and Maxillofacial Surgery (Dentist)
- Brooklyn, NY
- NPI 1306503792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.