NPIMap

Individual provider Active NPI

Lisa Li, DO

  • Internal Medicine Physician
  • Succasunna, NJ
National Provider Identifier
1851326151
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07630500 Issued in NJ
Practice address
225 Route 10 E
Suite 201
Succasunna, NJ 07876-1300
Phone
(973) 584-1405
Fax
(973) 584-6889
NPI assigned
Jul 12, 2006
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07630500 NJ Primary

Addresses

Primary practice location

225 Route 10 E
Suite 201
Succasunna, NJ 07876-1300

Mailing address

225 Route 10 E
Ste 101
Succasunna, NJ 07876-1300
Phone (973) 989-3085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040427000908 NJ Practitioner - Internal Medicine 3678560232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 Sunset Strip
Suite 309
Succasunna, NJ 07876-1362
Phone (973) 584-1405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lisa Li LLC CurrentSince Mar 1, 2012 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients
Vital Medical Forces of Denville PC Internal Medicine Past Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients

Locations

225 Route 10 E
Ste 101
Succasunna, NJ 07876
Phone (973) 584-4420

66 Sunset Strip
Ste 309
Succasunna, NJ 07876
Phone (973) 584-1405

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1851326151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "STE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-989-3085",
            "fax_number": "973-989-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "address_2": "SUITE 201",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "973-584-1405",
            "fax_number": "973-584-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LISA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07630500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

Verify at the official NPI Registry.