Individual provider Active NPI

Karen Li, MD

  • Occupational Medicine Physician
  • Suffern, NY
National Provider Identifier
1932562303
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
30742701 Issued in NY
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
30742701NYMDOccupational 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

Verify at the official NPI Registry.