Organization Active NPI

Tili Medical Office PLLC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1699916106
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250716 Issued in NY
Legal business name
TILI MEDICAL OFFICE PLLC
Practice address
5830 Main St
Flushing, NY 11355-5336
Phone
(718) 886-2820
NPI assigned
Mar 12, 2009
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Weining Liang, MD
Title
Doctor
Phone
(718) 886-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 250716 NY Primary

Addresses

Primary practice location

5830 Main St
Flushing, NY 11355-5336

Mailing address

PO Box 520112
Flushing, NY 11352-0112
Phone (718) 886-8180

Other identifiers 1

IdentifierTypeStateIssuer
203586OtherNYLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1699916106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520112",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113520112",
            "telephone_number": "718-886-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555336",
            "telephone_number": "718-886-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILI MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "WEINING",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-886-2820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "203586",
            "state": "NY"
        }
    ],
    "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 Nov 16, 2011; 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.