Dr Lisa Li LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MB07630500 Issued in NJ

Legal business name

DR LISA LI LLC

Practice address

225 Route 10 E
Suite 101
Succasunna, NJ 07876-1300

Phone

(973) 584-1405

Fax

(973) 584-6889

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Lisa Li, D.O.NPI 1851326151

Title

Physician

Phone

(201) 873-5712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Li, DO

  • Internal Medicine Physician
  • Succasunna, NJ
  • NPI 1851326151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1811268451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "201-873-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-1405",
            "fax_number": "973-584-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LISA LI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-873-5712",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MB07630500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Succasunna, NJ
• Providers in Succasunna, 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 Jul 21, 2016; 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.