NPIMap

Individual provider Active NPI

David Li, M.D,, PH.D.

  • Vascular & Interventional Radiology Physician
  • New York, NY
National Provider Identifier
1801037213
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
266063-1 Issued in NY
Practice address
525 E 68TH St
Payson 5
New York, NY 10065-4870
Phone
(212) 746-2600
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 266063-1 NY Primary

Addresses

Primary practice location

525 E 68TH St
Payson 5
New York, NY 10065-4870

Mailing address

4230 Douglaston Pkwy
Unit 6N
Douglaston, NY 11363-1538
Phone (718) 749-2055

Other identifiers 1

IdentifierTypeStateIssuer
E10667MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107000338 NY Practitioner - Diagnostic Radiology 9133354707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 8527473479, 18 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-4656

2020 Wantagh Ave
Mount Sinai Doctors Wantagh
Wantagh, NY 11793-3931
Phone (516) 961-4545

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266063-1NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince May 11, 2024 Accepting new patients
Weill Cornell Medical Imaging Vascular & Interventional Radiology CurrentSince Jul 1, 2013 Accepting new patients
Fpa Hospital Based CurrentSince May 11, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2021 Accepting new patients
Weill Cornell Imaging at New York Presbyterian Vascular & Interventional Radiology CurrentSince Jul 1, 2013 Accepting new patients
South Nassau Communities Hospital Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2021 Accepting new patients

Locations

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

1305 York Ave
Fl 3
New York, NY 10021
Phone (201) 983-1255

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

525 E 68th St
#5
New York, NY 10065
Phone (212) 746-2771

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

440 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-8220

Networks

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

Interoperability endpoints

  • Direct secure messaging: davidli@snch.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1801037213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 DOUGLASTON PKWY",
            "address_2": "UNIT 6N",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631538",
            "telephone_number": "718-749-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "address_2": "PAYSON 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D,, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "266063-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E10667",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.