East Brunswick Primary Care, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA69929 Issued in NJ

Legal business name

EAST BRUNSWICK PRIMARY CARE, PA

Practice address

F1 Brier Hill CT
East Brunswick, NJ 08816-3337

Phone

(732) 603-0055

Fax

(732) 603-8228

NPI assigned

Mar 22, 2011

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dena Y LiNPI 1083671549

Title

MD

Phone

(732) 603-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dena Y Li, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
  • NPI 1083671549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1750680393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TIMBER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203204",
            "telephone_number": "732-603-0055",
            "fax_number": "732-603-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F1 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163337",
            "telephone_number": "732-603-0055",
            "fax_number": "732-603-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRUNSWICK PRIMARY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-603-0055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA69929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Brunswick Open Upright MRI LLC (Imagecare at East Brunswick Open Upright MRI)
• East Brunswick Orthopedic Associates LLC
• East Brunswick Pediatrics Associated (Mid-Jersey Pediatrics, P.a.)
• East Brunswick Periodontics and Dental Implants
• East Brunswick Physical Therapy
• East Brunswick Public Schools
• East Brunswick Rehabilitation LLC
• East Brunswick Rescue Squad
• East Brunswick Senior Care, LLC (The Chelsea at East Brunswick)
• East Brunswick Surgery Center LLC (University SurgiCenter)

• Primary Care Clinic/Center in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.