Individual provider Active NPI

Ronald W Li, MD

  • Otolaryngology Physician
  • Cranbury, NJ
National Provider Identifier
1760574289
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA05296300 Issued in NJ
Practice address
2650 Constitution Center
Suite B
Cranbury, NJ 08512
Phone
(609) 655-3000
Fax
(609) 655-3003
NPI assigned
Sep 29, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA05296300 NJ Primary

Addresses

Primary practice location

2650 Constitution Center
Suite B
Cranbury, NJ 08512

Mailing address

2650 Constitution Center
Suite B
Cranbury, NJ 08512
Phone (609) 655-3000

Other identifiers 2

IdentifierTypeStateIssuer
P62452278OtherMULTIPLAN
5710527OtherGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000235 NJ Practitioner - Otolaryngology 2163616707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Ear Nose & Throat Otolaryngology Current Accepting new patients
Ronald Li, MD PC Otolaryngology Past Accepting new patients

Locations

2650 US Highway 130
Ste B
Cranbury, NJ 08512
Phone (201) 844-9062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1760574289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CONSTITUTION CENTER",
            "address_2": "SUITE B",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "08512",
            "telephone_number": "609-655-3000",
            "fax_number": "609-655-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CONSTITUTION CENTER",
            "address_2": "SUITE B",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "08512",
            "telephone_number": "609-655-3000",
            "fax_number": "609-655-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA05296300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P62452278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5710527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranbury, NJ

Sources for this page

Verify at the official NPI Registry.