Lic Skyline Medicine PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LIC SKYLINE MEDICINE PC

Practice address

2315 44TH Dr Ofc
Long Island City, NY 11101-8900

Phone

(973) 910-8288

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Yali Li

Title

President

Phone

(973) 910-8288

Specialties & licenses 2

Addresses

Other names 1

• Skyline Wellness Doing business as

Locations

Practitioners 1

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

• Hui-Tzu Yang, L. AC., MD(CHINA)

  • Acupuncturist
  • West Orange, NJ
  • NPI 1588071104
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1851070890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PROSPECT AVE STE 205",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524204",
            "telephone_number": "973-910-8288",
            "fax_number": "973-910-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 44TH DR OFC",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111018900",
            "telephone_number": "973-910-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIC SKYLINE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-910-8288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Librojo, OT
• Lic Dental Associate
• Lic Marriage and Family Therapy PLLC
• Lic Pharmacy Corp
• Lic Skyline Acupuncture PC
• Lic Strong Physical Therapy PLLC
• Colleen Liddie
• Nicole Alexandra Lieber, NP
• Arnold I. Liebman, DDS
• Liliya Etkina DDS PC

• Specialist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.