Individual provider Active NPI

Leonid Li, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Berkeley Heights, NJ
National Provider Identifier
1962460386
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA06749600 Issued in NJ
Practice address
1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104
Phone
(908) 277-8699
Fax
(908) 673-7388
NPI assigned
May 3, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA06749600 NJ Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 208690 NY

Addresses

Primary practice location

1 Diamond Hill Rd FL G
Berkeley Heights, NJ 07922-2104

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

Other practice location 1

25 Pocono Rd
2nd Floor St.Clare's Hospital
Denville, NJ 07834-2954
Phone (973) 625-6717

Other practice location 2

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 831-6813

Other identifiers 1

IdentifierTypeStateIssuer
0037923MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20050503000075 NJ Practitioner - Pathology 6901845510 Reassigns benefits to 4 organizations
I20240314002632 NY Practitioner - Pathology 6901845510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

415 Route 24
Suite E
Chester, NJ 07930-2920
Phone (908) 879-1500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince May 23, 2022 Accepting new patients
Pathlink of New Jersey Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2021 Accepting new patients
North Jersey Pathologists Corp. Anatomic Pathology & Clinical Pathology Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 14, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 14, 2024 Accepting new patients
The Westchester Medical Group PC CurrentSince Nov 1, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Consensus Medical Group LLC CurrentSince Nov 19, 2021 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Summit Medical Group PA CurrentSince May 23, 2022 Accepting new patients
Princeton Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2015 Accepting new patients
Advance Chiropractic Clinics P C Past Accepting new patients
Advanced Chiropractic Healthcare, LLC Past Accepting new patients

Locations

7083 Grand National Dr
Ste 102
Orlando, FL 32819

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1 Diamond Hill Rd
Fl G
Berkeley Heights, NJ 07922
Phone (908) 277-8699

415 Route 24
Ste E
Chester, NJ 07930
Phone (908) 879-1500

16 Pocono Rd
Ste 201
Denville, NJ 07834
Phone (973) 627-4430

16 Pocono Rd
Ste 205
Denville, NJ 07834
Phone (973) 627-0060

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

25 Pocono Rd
Fl 2
Denville, NJ 07834
Phone (973) 625-6717

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

174 Edison Rd
Lk Hopatcong, NJ 07849
Phone (973) 663-1300

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

33 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-2971

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

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

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1962460386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635",
            "fax_number": "908-934-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD FL G",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8699",
            "fax_number": "908-673-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Pocono Rd",
            "address_2": "2nd Floor St.Clare's Hospital",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342954",
            "country_code": "US",
            "telephone_number": "973-625-6717",
            "fax_number": "973-983-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106042901",
            "country_code": "US",
            "telephone_number": "914-831-6813",
            "fax_number": "914-831-6869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "LEONID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA06749600",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "208690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037923",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.