Individual provider Active NPI

Lili Tang

  • Psychiatric/Mental Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1912751660
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405919 Issued in NY
Practice address
13172 40TH Rd
Flushing, NY 11354-5137
Phone
(718) 587-1111
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 811120 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405919 NY Primary

Addresses

Primary practice location

13172 40TH Rd
Flushing, NY 11354-5137

Mailing address

13172 40TH Rd
Flushing, NY 11354-5137

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116003107 NY Practitioner - Nurse Practitioner 3072041128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Child Center of Ny IncGroup PAC ID 8426010638, 15 clinicians

Practice addresses (Care Compare)

8114 Queens Blvd
Elmhurst, NY 11373-3789
Phone (718) 899-9810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
811120NYMDRegistered Nurse
405919NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Dec 1, 2024 Accepting new patients
The Child Center of Ny, Inc. CurrentSince Jul 26, 2025 Accepting new patients
Flushing Hospital Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Jamaica Hospital CurrentSince Dec 1, 2024 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Dec 1, 2024 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 5

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": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1912751660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13172 40TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13172 40TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545137",
            "telephone_number": "718-587-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "LILI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "811120",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.