Organization Active NPI

Tili Medical Office PLLC

  • Ph.D. Medical Genetics
  • Flushing, NY
National Provider Identifier
1831467935
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
203586 Issued in NY
Legal business name
TILI MEDICAL OFFICE PLLC
Practice address
5830 Main St FL 1
Flushing, NY 11355-5336
Phone
(718) 886-2820
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Weining Liang
Title
MD
Phone
(718) 886-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 170100000X 203586 NY Primary

Addresses

Primary practice location

5830 Main St FL 1
Flushing, NY 11355-5336

Mailing address

5830 Main St FL 1
Flushing, NY 11355-5336
Phone (718) 886-2820

Other identifiers 1

IdentifierTypeStateIssuer
203586OtherNYLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1831467935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MAIN ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555336",
            "telephone_number": "718-886-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MAIN ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555336",
            "telephone_number": "718-886-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILI MEDICAL OFFICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "WEINING",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-2820"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NY",
            "license": "203586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "203586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.