Individual provider Active NPI

Li Jiang

  • Pediatrics Physician
  • Hillsborough, NJ
National Provider Identifier
1841448974
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08595400 Issued in NJ
Practice address
613 Courtyard Dr
Hillsborough, NJ 08844-4256
Phone
(908) 240-8285
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 25MA08595400 NJ Primary

Addresses

Primary practice location

613 Courtyard Dr
Hillsborough, NJ 08844-4256

Mailing address

613 Courtyard Dr
Hillsborough, NJ 08844-4256
Phone (908) 240-8285

Other identifiers 1

IdentifierTypeStateIssuer
0228656MedicaidNJ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Free Vaccine for All Community Health Clinic CurrentSince Dec 6, 2020 Accepting new patients
Hills Pediatrics Pediatrics CurrentSince Jun 14, 2020 Accepting new patients

Locations

613 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 240-8285

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1841448974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444256",
            "telephone_number": "908-240-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444256",
            "telephone_number": "908-240-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "LI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08595400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228656",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.