Individual provider Active NPI

Lap-Yang Joseph Li, M.D.

  • Pediatrics Physician
  • Morgantown, WV
National Provider Identifier
1790765774
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19475 Issued in WV
Practice address
1202 Suncrest Towne Centre
Morgantown, WV 26505-1828
Phone
(304) 599-2004
Fax
(304) 599-7611
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19475 WV Primary

Addresses

Primary practice location

1202 Suncrest Towne Centre
Morgantown, WV 26505-1828

Mailing address

1202 Suncrest Towne Centre
Morgantown, WV 26505-1828
Phone (304) 599-2004

Other identifiers 1

IdentifierTypeStateIssuer
1801635000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19475WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Care, PLL Past Accepting new patients
Core Health Care Past Accepting new patients

Organizations & group practices 2

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1790765774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SUNCREST TOWNE CENTRE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051828",
            "telephone_number": "304-599-2004",
            "fax_number": "304-599-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SUNCREST TOWNE CENTRE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051828",
            "telephone_number": "304-599-2004",
            "fax_number": "304-599-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LAP-YANG",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "19475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801635000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.