Active NPI
Tili Medical Office PLLC
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1699916106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 250716
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203586 | Other | NY | LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.