Active NPI
Sherry S Li, M.D., PH.D.
- Dermatology Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 244852
- Practice address
- 4160 Main St
Suite 301
Flushing, NY 11355-3833 - Phone
- (347) 389-3888
- Fax
- (718) 889-2411
- NPI assigned
- Jun 2, 2006
- Last updated
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 244852 | NY | |
| Dermatology Physician | 207N00000X | 244852 | NY | Primary |
Addresses
Primary practice location
4160 Main St
Suite 301
Flushing, NY 11355-3833
Mailing address
4160 Main St
Suite 301
Flushing, NY 11355-3833
Phone (347) 389-3888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244852 | NY | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Ny Medical Skin Solutions, PLLC | Current | Accepting new patients | |
| Average Dermatology Nyc PC | Past | Accepting new patients | |
| New York University | Past | Accepting new patients | |
| Delaware Valley Dermatology Group LLC | Dermatology | Past | Accepting new patients |
| Golden Age Dermatology PLLC | Dermatology | Past | Accepting new patients |
| Paul Kechijian, MD, PC | Dermatology | Past | Accepting new patients |
| Atlantic Skin & Cosmetic Surgery Group, P.C. | Dermatology | Past | Accepting new patients |
Locations
4160 Main St
Ste 301
Flushing, NY 11355
Phone (347) 389-3888
6666 Grand Ave
Maspeth, NY 11378
Phone (718) 255-5397
345 E 37th St
Rm 301
New York, NY 10016
Phone (212) 867-1020
11412 Beach Channel Dr
Ste 5
Rockaway Park, NY 11694
Phone (718) 634-6885
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1992742217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 MAIN ST",
"address_2": "SUITE 301",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553833",
"telephone_number": "347-389-3888",
"fax_number": "718-889-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 MAIN ST",
"address_2": "SUITE 301",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113553833",
"telephone_number": "347-389-3888",
"fax_number": "718-889-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "SHERRY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "244852",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "244852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.