Individual provider Active NPI

Chun-Lun James Li, MD

  • Specialist
  • New York, NY
National Provider Identifier
1912934555
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
212717 Issued in NY
Practice address
128 Mott St
Suite 608
New York, NY 10013-5540
Phone
(212) 343-8399
Fax
(212) 343-1386
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 212717 NY Primary

Addresses

Primary practice location

128 Mott St
Suite 608
New York, NY 10013-5540

Mailing address

PO Box 2625
New York, NY 10009-8925
Phone (914) 222-0828

Other identifiers 1

IdentifierTypeStateIssuer
02199535MedicaidNY

Other names 1

  • James C Li Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001018 NY Practitioner - Otolaryngology 7012983448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Li MD PLLCGroup PAC ID 8022084763, 2 clinicians

Practice addresses (Care Compare)

3916 Prince St
Suite 152
Flushing, NY 11354-5367
Phone (718) 353-7701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212717NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
James Li MD PLLC Specialist CurrentSince Apr 9, 2003 Accepting new patients

Locations

3916 Prince St
Ste 152
Flushing, NY 11354
Phone (718) 353-7701

128 Mott St
Ste 608
New York, NY 10013
Phone (212) 343-8399

80 Bowery
Rm 403
New York, NY 10013
Phone (212) 343-9716

Networks

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

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1912934555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2625",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098925",
            "telephone_number": "914-222-0828",
            "fax_number": "212-343-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-343-8399",
            "fax_number": "212-343-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "CHUN-LUN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "212717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02199535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "LI",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.