Jimmy Li, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N006063 Issued in NY

Practice address

8612 Jamaica Ave
Woodhaven, NY 11421-2042

Phone

(718) 846-7872

Fax

(718) 846-6001

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Stand Up Podiatry PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1710583901
  Medicare reassignment NPD Authorized official
• New York Medical & Diagnostic Center Inc

  • Family Medicine Physician
  • Kew Gardens, NY
  • NPI 1790771889
  Medicare reassignment NPD
• Boro Medical, P.C.

  • Podiatrist
  • Long Island City, NY
  • NPI 1588682454
  NPD (past)
• Four Season Medical PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1447785316
  NPD (past)
• Well Wellness Medical PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1114620531
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881764108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-846-7872",
            "fax_number": "718-846-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 JAMAICA AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212042",
            "telephone_number": "718-846-7872",
            "fax_number": "718-846-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Let'S Talk SLP PC
• Rachel Levy-Haim
• Lynette Sabita Lewis, MSED
• Michelle Lewis, LMSW
• Cheng Li, L.AC.
• Xiu Qin Li
• Neil Bryan Liao
• Lifeway Acupuncture, P.C.
• Lima Supply Inc.
• Nancy Lincoln, OTR

• Foot & Ankle Surgery Podiatrist in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.