Active NPI
Advanced Therapeutics of Li LLC
- Durable Medical Equipment & Medical Supplies
- Farmingdale, NY
National Provider Identifier
1992276539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ADVANCED THERAPEUTICS OF LI LLC
- Practice address
- 71 Gazza Blvd
Farmingdale, NY 11735-1401 - Phone
- (631) 909-6290
- Fax
- (631) 759-9212
- NPI assigned
- Dec 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lukas William Pellizzi
- Title
- Owner, President
- Phone
- (516) 695-0875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
71 Gazza Blvd
Farmingdale, NY 11735-1401
Mailing address
141 Unqua Rd
Massapequa, NY 11758-7518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304000030 | NY | DME Supplier - Medical Supply Company With Prosthetic Personnel | 0840606554 | Practice locations: Wantagh, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Advanced Therapeutics of Li LLC | Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Pneumatic Compression Devices and/or Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
71 Gazza Blvd
Farmingdale, NY 11735
Phone (631) 909-6290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1992276539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 UNQUA RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117587518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 GAZZA BLVD",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351401",
"telephone_number": "631-909-6290",
"fax_number": "631-759-9212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED THERAPEUTICS OF LI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-07",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "PELLIZZI",
"authorized_official_first_name": "LUKAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "516-695-0875"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.