Simon Li Medical PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SIMON LI MEDICAL PLLC

Practice address

8510 19TH Ave
Brooklyn, NY 11214-3106

Phone

(347) 562-3285

Fax

(718) 232-8808

NPI assigned

Jul 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Simon LiNPI 1265751002

Title

MD/President

Phone

(347) 562-3285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Li, MD

  • Adult Medicine Physician
  • Brooklyn, NY
  • NPI 1265751002
  Medicare reassignment Care Compare group NPD Authorized official
• Dandan Guan, PAC

  • Medical Physician Assistant
  • New York, NY
  • NPI 1629465158
  Medicare reassignment Care Compare group
• Ivan Li, NP

  • Nurse Practitioner
  • Commack, NY
  • NPI 1295587798
  Medicare reassignment NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1952887580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143106",
            "telephone_number": "347-562-3285",
            "fax_number": "718-232-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143106",
            "telephone_number": "347-562-3285",
            "fax_number": "718-232-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON LI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "347-562-3285",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamonie Simms
• Gentiana Simnica
• Helene Simnowitz
• Michele Simo, LCSW
• Simon F Medical Services PC
• Simon Medical Call Care PC
• Simon Podiatry PLLC
• Simon Raskin DPM PC
• Simon Saada, M.D., P.C.
• Andrise Simon, RN

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.