Active NPI
Rongshan Li, MD
- Anatomic Pathology & Clinical Pathology Physician
- Collegeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 25MA08650800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030377S | Other | HUMANA | |
| 34584000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 55.56
- Improvement activities
- 40
- Cost
- 75.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.92 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.61
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.69 of 100
- Quality
- 88.93
- Improvement activities
- 40
- Cost
- 90.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08650800 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
| 47440 | WI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles (23 of 29)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raso - Cohen Gastroenterology Associates, Inc | Current | Accepting new patients | |
| Alan Goldman MD Steven C Tawil MD PC | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Current | Accepting new patients | |
| Lakewood Urology Limited Liability Company | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients | |
| Sherif a. Farag, MD, PC | Current | Accepting new patients | |
| Ocean Family Gastroenterology PC | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients | |
| Paul Cohen MD PC | Current | Accepting new patients | |
| Advanced Urology Associates Enterprises | Current | Accepting new patients | |
| Advanced Urology Associates Enterprises | Current | Accepting new patients | |
| Pierre Mendoza MD LLC | Current | Accepting new patients | |
| Urologic Health Center of N.J. P.C. | Current | Accepting new patients | |
| Lakewood Urology Limited Liability Company | Current | Accepting new patients | |
| Prominis Medical Services PC | Current | Accepting new patients | |
| Essex Gastro Associates, PA | Current | Accepting new patients | |
| NJ Gastro, LLC | Current | Accepting new patients | |
| Sav Endoscopy PC | Current | Accepting new patients | |
| Urologic Health Center of NJ PC | Past | Accepting new patients | |
| Paul Cohen Gastroenterology, P.C. | Past | Accepting new patients | |
| Summit Medical Group, Inc | Past | Accepting new patients | |
| Essex Endoscopy Center LLC | Past | Accepting new patients | |
| Hands on Home Care Inc. | Past | 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
- 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.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.