Individual provider Active NPI

Jun Li, M.D.

  • Anesthesiology Physician
  • Marlboro, NJ
National Provider Identifier
1861459505
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MA07743700 Issued in NJ
Practice address
15 S Main St Ste 2
Marlboro, NJ 07746-1595
Phone
(848) 863-8700
Fax
(732) 387-0083
NPI assigned
Apr 27, 2006
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MA07743700 NJ Primary

Addresses

Primary practice location

15 S Main St Ste 2
Marlboro, NJ 07746-1595

Mailing address

PO Box 34
Marlboro, NJ 07746-0034
Phone (848) 863-8700

Other practice location 1

210 Canal St Rm 601
New York, NY 10013-4161
Phone (212) 693-2100

Other identifiers 1

IdentifierTypeStateIssuer
0064203MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040519001648 NY Practitioner - Anesthesiology 2567453467 Reassigns benefits to 1 organization
I20041217000199 NJ Practitioner - Anesthesiology 2567453467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Centre St
Suite 511
New York, NY 10013-4555
Phone (848) 863-8700

139 Centre St
Suite 704
New York, NY 10013-4557
Phone (848) 863-8700

205 May St
Edison, NJ 08837-3267
Phone (732) 661-9075

210 Canal St
RM 601
New York, NY 10013-4161
Phone (848) 863-8700

211 Bridge St
BLDG D
Metuchen, NJ 08840-2254
Phone (732) 662-5115

360 Route 70
Lakewood, NJ 08701-5823
Phone (732) 942-9835

4235 Main St
Suite 3E
Flushing, NY 11355-3969
Phone (848) 863-8700

5715 7TH Ave
FL 1
Brooklyn, NY 11220-3902
Phone (848) 863-8700

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (848) 863-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07743700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North America Medical Technology Consultation LLC Anesthesiology CurrentSince Jan 4, 2011 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Ethel Diagnostic Laboratory CurrentSince Apr 1, 2019 Accepting new patients
Eliot Zimbalist MD PC CurrentSince Jun 11, 2012 Accepting new patients
Jun Li Anesthesia Associated PC Anesthesiology CurrentSince Jan 4, 2011 Accepting new patients
Young Hur M D P C Past Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
North America Medical Technology Consultation LLC Anesthesiology Past Accepting new patients
Specialty Anesthesia Associates, LLC Anesthesiology Past Accepting new patients

Locations

142 Highway 35
Eatontown, NJ 07724
Phone (732) 389-5004

142 Highway 35
Ste 101
Eatontown, NJ 07724
Phone (732) 935-0031

1931 Oak Tree Rd
Ste 100
Edison, NJ 08820
Phone (732) 538-8511

205 May St
Edison, NJ 08837
Phone (732) 661-9075

205 May St
Ste 103
Edison, NJ 08837
Phone (732) 525-0600

2111 Klockner Rd
Hamilton Square, NJ 08690
Phone (609) 587-4777

211 Bridge St
Metuchen, NJ 08840
Phone (732) 462-0111

211 Bridge St
Bldg D
Metuchen, NJ 08840
Phone (518) 461-7553

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

5715 7th Ave
Fl 1
Brooklyn, NY 11220
Phone (212) 941-7856

4160 Main St
Ste 2013
Flushing, NY 11355
Phone (718) 321-8840

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

139 Centre St
Ste 511
New York, NY 10013
Phone (212) 388-1062

139 Centre St
Ste 704
New York, NY 10013
Phone (212) 219-8878

210 Canal St
Rm 601
New York, NY 10013
Phone (212) 693-2100

217 Grand St
Ste 7
New York, NY 10013
Phone (212) 941-0988

70 W 36th St
Rm 12B
New York, NY 10018
Phone (917) 338-6382

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1861459505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460034",
            "telephone_number": "848-863-8700",
            "fax_number": "732-387-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 2",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461595",
            "telephone_number": "848-863-8700",
            "fax_number": "732-387-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Canal St Rm 601",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134161",
            "country_code": "US",
            "telephone_number": "212-693-2100",
            "fax_number": "732-387-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MA07743700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.