Individual provider Active NPI

Joan Li, M.D.

  • Ophthalmology Physician
  • Flushing, NY
National Provider Identifier
1952389355
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
211916 Issued in NY
Practice address
13527 38TH Ave
Suite 398
Flushing, NY 11354-4406
Phone
(718) 445-9088
Fax
(718) 445-5348
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 211916 NY Primary

Addresses

Primary practice location

13527 38TH Ave
Suite 398
Flushing, NY 11354-4406

Mailing address

13527 38TH Ave
Suite 398
Flushing, NY 11354-4406
Phone (718) 445-9088

Other identifiers 19

IdentifierTypeStateIssuer
02204337MedicaidNY
1000031767OtherNYAFFINITY PROVIDER ID
7239372OtherNYAETNA PPO PROVIDER ID
SP14185OtherNYCENTERCARE PROVIDER ID
2104114OtherNYFIRST HEALTH PROVIDER ID
4C5053OtherNYHEALTHNET PROVIDER ID
113681295OtherNYMAGNACARE PROVIDER ID
150170301OtherNYHEALTHPLUS PROVIDER ID
211916OtherNYHIP PROVIDER ID
2891530OtherNYAETNA HMO PROVIDER ID
434B5OtherNYEMPIRE BCBS PROVIDER ID
21222849175OtherNYBEECH STREET PROVIDER ID
2165752-004OtherNYCIGNA PROVIDER ID
0402412OtherNYGHI PROVIDER ID
113681295OtherNYHORIZON PROVIDER ID
211916-A40OtherNYHEALTHFIST PROVIDER ID
113681295OtherNY1199 PROVIDER ID
113681295LI01OtherNYCAREPLUS PROVIDER ID
171193OtherNYELDERPLAN PROVIDER ID

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
I20040405000557 NY Practitioner - Ophthalmology 4587657838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 E 14 St
New York, NY 10003-4201
Phone (212) 979-4000

3916 Prince St
Suite M51
Flushing, NY 11354-5368
Phone (718) 445-9088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Li, MD PC CurrentSince Mar 17, 2003 Accepting new patients

Locations

13527 38th Ave
Ste 398
Flushing, NY 11354
Phone (718) 445-9088

3916 Prince St
Ste M51
Flushing, NY 11354
Phone (718) 445-9088

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1952389355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE",
            "address_2": "SUITE 398",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544406",
            "telephone_number": "718-445-9088",
            "fax_number": "718-445-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13527 38TH AVE",
            "address_2": "SUITE 398",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544406",
            "telephone_number": "718-445-9088",
            "fax_number": "718-445-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "211916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY PROVIDER ID",
            "identifier": "1000031767",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER ID",
            "identifier": "7239372",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTERCARE PROVIDER ID",
            "identifier": "SP14185",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER ID",
            "identifier": "2104114",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "4C5053",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE PROVIDER ID",
            "identifier": "113681295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDER ID",
            "identifier": "150170301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER ID",
            "identifier": "211916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER ID",
            "identifier": "2891530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS PROVIDER ID",
            "identifier": "434B5",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET PROVIDER ID",
            "identifier": "21222849175",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER ID",
            "identifier": "2165752-004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER ID",
            "identifier": "0402412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON PROVIDER ID",
            "identifier": "113681295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIST PROVIDER ID",
            "identifier": "211916-A40",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 PROVIDER ID",
            "identifier": "113681295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS PROVIDER ID",
            "identifier": "113681295LI01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN PROVIDER ID",
            "identifier": "171193",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.