Individual provider Active NPI

Li Sun, D.O

  • Orthopaedic Surgery Physician
  • Bayonne, NJ
National Provider Identifier
1952663718
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MB10331900 Issued in NJ
Practice address
1039 Avenue C
Bayonne, NJ 07002-3217
Phone
(201) 972-5568
Fax
(669) 204-0326
NPI assigned
Jun 7, 2012
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MB10331900 NJ Primary

Addresses

Primary practice location

1039 Avenue C
Bayonne, NJ 07002-3217

Mailing address

400 Route 34 Ste a
Matawan, NJ 07747-2197
Phone (732) 812-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180221002122 NY Practitioner - Orthopedic Surgery 0143581819 Reassigns benefits to 1 organization
I20181003000417 NJ Practitioner - Orthopedic Surgery 0143581819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Matawan Rd
Suite 302
Matawan, NJ 07747-2653
Phone (732) 812-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Orthopaedic Surgery CurrentSince Dec 24, 2017 Accepting new patients
Barnabas Health Medical Group PC Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Sun Orthopaedic and Spine Care LLC Orthopaedic Surgery CurrentSince Aug 7, 2021 Accepting new patients
Sun Orthopaedic Spine Surgery P.C. Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 1, 2018 Accepting new patients

Locations

377 Jersey Ave
Ste 280A
Jersey City, NJ 07302
Phone (201) 716-5850

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

400 State Route 34
Ste A
Matawan, NJ 07747

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

239 Bridge St
Metuchen, NJ 08840
Phone (201) 972-5568

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Interoperability endpoints

  • Direct secure messaging: lsun436932@direct.ahsys.org

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, 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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1952663718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 34 STE A",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472197",
            "telephone_number": "732-812-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-972-5568",
            "fax_number": "669-204-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "LI",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MB10331900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.