Active NPI
Karen Li, MD
- Occupational Medicine Physician
- Suffern, NY
National Provider Identifier
1932562303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 30742701
- Practice address
- Suffern Clinical Center
222 Route 59, Suite 106
Suffern, NY 10901 - Phone
- (845) 777-3800
- Fax
- (845) 777-3722
- NPI assigned
- Apr 1, 2016
- Last updated
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 30742701 | NY | Primary |
Addresses
Primary practice location
Suffern Clinical Center
222 Route 59, Suite 106
Suffern, NY 10901
Mailing address
Suffern Clinical Center
222 Route 59, Suite 106
Suffern, NY 10901
Other practice location 1
300 2nd Ave
IM Residency
Long Branch, NJ 07740-6303
Phone (732) 923-6537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417003581 | NJ | Practitioner - Preventive Medicine | 2264871623 | Practice locations: Jersey City, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30742701 | NY | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1932562303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUFFERN CLINICAL CENTER",
"address_2": "222 ROUTE 59, SUITE 106",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUFFERN CLINICAL CENTER",
"address_2": "222 ROUTE 59, SUITE 106",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-777-3800",
"fax_number": "845-777-3722"
}
],
"practiceLocations": [
{
"address_1": "300 2nd Ave",
"address_2": "IM Residency",
"address_purpose": "LOCATION",
"city": "Long Branch",
"state": "NJ",
"postal_code": "077406303",
"country_code": "US",
"telephone_number": "732-923-6537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "KAREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NY",
"license": "30742701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.