Individual provider Active NPI

Rongshan Li, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Collegeville, PA
National Provider Identifier
1750335667
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA08650800 Issued in NJ
Practice address
100 Kestrel Dr
Collegeville, PA 19426-2060
Phone
(610) 831-5354
Fax
(610) 831-5358
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 47440 WI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA08650800 NJ Primary

Addresses

Primary practice location

100 Kestrel Dr
Collegeville, PA 19426-2060

Mailing address

535 E Crescent Ave
Ramsey, NJ 07446-2922
Phone (201) 661-7280

Other identifiers 2

IdentifierTypeStateIssuer
000030377SOtherHUMANA
34584000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100211000577 NJ Practitioner - Pathology 5799747739 Reassigns benefits to 8 organizations
I20130311000329 PA Practitioner - Pathology 5799747739
I20150323001567 NY Practitioner - Pathology 5799747739 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Paul Cohen MD PCGroup PAC ID 0345212528, 2 clinicians
Lakewood Urology Limited Liability CompanyGroup PAC ID 9032293709, 7 clinicians
NJ Gastro, LLCGroup PAC ID 7911058169, 4 clinicians
Advanced Urology Associates EnterprisesGroup PAC ID 5698184927, 18 clinicians
Essex Gastro Associates, PAGroup PAC ID 2668447939, 5 clinicians
Sherif a Farag MD PCGroup PAC ID 1254588155, 2 clinicians
Urologic Health Center of N.J. P.C.Group PAC ID 1254392145, 5 clinicians
Pierre Mendoza MD LLCGroup PAC ID 8729415591, 3 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

130 Brighton Beach Ave
Brooklyn, NY 11235-8066
Phone (718) 946-7557

1336 Utica Ave
Brooklyn, NY 11203-5912
Phone (718) 221-0415

1374 Whitehorse Hamilton Square Rd
Suite 101
Hamilton, NJ 08690-3701
Phone (609) 581-5900

24 Merchant St
Newark, NJ 07105-2847
Phone (973) 645-0000

2401 Hwy 35
Manasquan, NJ 08736-1158
Phone (732) 800-3013

275 Chestnut St
Suite 6
Newark, NJ 07105-1570
Phone (973) 589-5545

4277 Richmond Ave
Staten Island, NY 10312-6241
Phone (718) 227-1282

5091 Amboy Rd
Staten Island, NY 10312-4722
Phone (718) 948-0221

67 Route 37 W
Toms River, NJ 08755-6405
Phone (732) 914-1300

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 230-2611

Merit-based Incentive Payment System (MIPS)

Final score
74.81 of 100Reported as group
Quality
55.56
Improvement activities
40
Cost
75.3

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.93
Improvement activities
40
Cost
90.4

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08650800NJMDAnatomic Pathology & Clinical Pathology Physician
47440WIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles (23 of 29)

OrganizationSpecialtyStatusNew patients
Raso - Cohen Gastroenterology Associates, Inc CurrentSince Nov 1, 2014 Accepting new patients
Alan Goldman MD Steven C Tawil MD PC CurrentSince Jul 1, 2024 Accepting new patients
Allied Digestive Health, LLC CurrentSince Aug 1, 2021 Accepting new patients
Lakewood Urology Limited Liability Company CurrentSince Jul 15, 2022 Accepting new patients
Middletown Medical PC CurrentSince Mar 1, 2021 Accepting new patients
Sherif a. Farag, MD, PC CurrentSince May 8, 2022 Accepting new patients
Ocean Family Gastroenterology PC CurrentSince Feb 7, 2014 Accepting new patients
Middletown Medical PC CurrentSince Mar 1, 2021 Accepting new patients
Paul Cohen MD PC CurrentSince Dec 1, 2022 Accepting new patients
Advanced Urology Associates Enterprises CurrentSince Sep 1, 2021 Accepting new patients
Advanced Urology Associates Enterprises CurrentSince Sep 1, 2021 Accepting new patients
Pierre Mendoza MD LLC CurrentSince Jul 19, 2024 Accepting new patients
Urologic Health Center of N.J. P.C. CurrentSince Aug 31, 2010 Accepting new patients
Lakewood Urology Limited Liability Company CurrentSince Sep 24, 2023 Accepting new patients
Prominis Medical Services PC CurrentSince Feb 10, 2026 Accepting new patients
Essex Gastro Associates, PA CurrentSince Jan 24, 2017 Accepting new patients
NJ Gastro, LLC CurrentSince Apr 9, 2025 Accepting new patients
Sav Endoscopy PC CurrentSince Nov 14, 2023 Accepting new patients
Urologic Health Center of NJ PC Past Accepting new patients
Paul Cohen Gastroenterology, P.C. PastSince Feb 7, 2021 Accepting new patients
Summit Medical Group, Inc PastSince Aug 1, 2016 Accepting new patients
Essex Endoscopy Center LLC PastSince Jan 24, 2017 Accepting new patients
Hands on Home Care Inc. PastSince Jun 10, 2019 Accepting new patients

Locations

446 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 458-5300

1700 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 241-8900

900 Route 70
Lakewood, NJ 08701
Phone (732) 741-5923

2401 State Route 35
Manasquan, NJ 08736
Phone (732) 223-7877

24 Merchant St
Newark, NJ 07105
Phone (973) 344-4787

275 Chestnut St
Ste 6
Newark, NJ 07105
Phone (973) 589-5545

731 Alexander Rd
Ste 100
Princeton, NJ 08540
Phone (609) 924-1422

595 Shrewsbury Ave
Ste 103
Shrewsbury, NJ 07702
Phone (732) 741-5923

129 Route 37 W
Ste 3
Toms River, NJ 08755
Phone (732) 797-3990

9 Mule Rd
Ste E5
Toms River, NJ 08755
Phone (732) 230-2611

780 Route 37 W
Ste 235
Toms River, NJ 08755
Phone (732) 286-6644

301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590

67 Route 37 W
Ste 1
Toms River, NJ 08755
Phone (732) 349-4434

129 Route 37 W
Ste 4
Toms River, NJ 08755
Phone (732) 240-0599

20 Hospital Dr
Ste 15
Toms River, NJ 08755
Phone (732) 286-6644

9 Mule Rd
Ste E15
Toms River, NJ 08755
Phone (732) 341-7460

1374 Whitehorse Hamilton Square Rd
Ste 101
Trenton, NJ 08690
Phone (609) 581-5900

130 Brighton Beach Ave
Ste 3
Brooklyn, NY 11235
Phone (718) 942-5385

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

1336 Utica Ave
Brooklyn, NY 11203
Phone (718) 629-5500

130 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 946-7557

111 Maltese Dr
Middletown, NY 10940

5091 Amboy Rd
Staten Island, NY 10312
Phone (718) 948-0221

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1d6c3167-ceed-47b0-b6f7-156a9cb2ffbe/

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1750335667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-661-7280",
            "fax_number": "201-661-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KESTREL DR",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262060",
            "telephone_number": "610-831-5354",
            "fax_number": "610-831-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "RONGSHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "47440",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA08650800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000030377S",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34584000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.