NPIMap

Organization Active NPI

John C Li MD PA

  • Otology & Neurotology Physician
  • Jupiter, FL
National Provider Identifier
1972577872
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
ME0062287 Issued in FL
Legal business name
JOHN C LI MD PA
Practice address
210 Jupiter Lakes Blvd
Ste. 5105
Jupiter, FL 33458-7191
Phone
(561) 748-4445
Fax
(561) 748-4449
NPI assigned
Feb 15, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
John C Li, M.D.NPI 1568459246
Title
Owner
Phone
(561) 748-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X ME0062287 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd
Ste. 5105
Jupiter, FL 33458-7191

Mailing address

210 Jupiter Lakes Blvd
Ste. 5105
Jupiter, FL 33458-7191
Phone (561) 748-4445

National Provider Directory

National Provider Directory

Locations

210 Jupiter Lakes Blvd
Ste 5105
Jupiter, FL 33458
Phone (561) 748-4445

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1972577872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "STE. 5105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-748-4445",
            "fax_number": "561-748-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "STE. 5105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-748-4445",
            "fax_number": "561-748-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C LI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-748-4445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "FL",
            "license": "ME0062287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.