DR. MICHELLE LI (NPI# 1609980044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609980044 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LI |
| Credential | M.D. |
| Practice Address |
420 E 51st St Office A New York NY 10022-8014 |
| Practice Telephone | 2126888887 |
| Practice Fax Number | 2126881243 |
| Mailing Telephone | 2126888887 |
| Mailing Fax Number | 2126881243 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
197405 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | TAX IDENITIFICATION | 133887329 | 01 |
| NY | GHI HMO | 52772 | 01 |
| NY | OXFORD | P401354 | 01 |
| NY | HIP | 10774P | 01 |
| NY | HEALTHNET | 2C3376 | 01 |
| NY | HEALTHFIRST | 197405A20 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932506094 | Michelle Li | Physician Assistant | 132-59 41st Rd, Ste Cb, Flushing, NY 11355 | 2014-12-04 |
| 1487127809 | Michelle Li | Pharmacist | 11 Newbury St, Danvers, MA 01923-1014 | 2019-01-08 |
| 1154892321 | Michelle Li | Behavior Technician | 25201 Paseo De Alicia Ste 110, Laguna Hills, CA 92653-4627 | 2018-12-16 |
| 1366819757 | Michelle Li | Physician Assistant | 556 Mowry Ave, #100, Fremont, CA 94536-4186 | 2015-09-01 |
| 1659786051 | Michelle Li | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2014-06-24 |
| 1275520819 | Michelle L Li | Surgery | 3838 California St, Rm 616, San Francisco, CA 94118-1508 | 2005-09-29 |
| Street Address |
420 E 51ST ST OFFICE A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982886677 | Deborah Ellen Moran | Massage Therapist | 420 E 51st St, Office B, New York, NY 10022-8014 | 2007-12-04 |
| 1215057252 | Sylvester Wojtkowski | Psychologist | 420 E 51st St, Suite C, New York, NY 10022-8014 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194206441 | Madison Physician Practice PC | Family Medicine | 983 Park Ave # 1d, New York, NY 10028-0808 | 2018-08-24 |
| 1205265030 | Jeana Joseph | Family Medicine | 1275 1st Ave, New York, NY 10065-5605 | 2013-11-02 |
| 1932460151 | Lyubov Gritsenko | Family Medicine | 400 Ft. Washington Ave., Suite 1a, New York, NY 10033 | 2012-06-05 |
| 1417233735 | Robert Tabrizi | Family Medicine | 216 Fort Washington Ave, New York, NY 10032-1322 | 2011-11-01 |
| 1295980795 | Virginia Gerhart Soules | Family Medicine | 407 Central Park W Apt 2c, New York, NY 10025-4803 | 2008-11-25 |
| 1073772794 | Randolph (randy) Eric Gross | Family Medicine | 161 William Street, Office 508, New York, NY 10038 | 2008-06-06 |
| 1518087030 | Lohrasb Ahmadian | Family Medicine | 160 West 26th Street, New York, NY 10001 | 2007-03-29 |
| 1831286897 | Virgilio A. Valdez | Family Medicine | 619 W 176th St Ofc A, New York, NY 10033-7829 | 2006-10-09 |
| 1346269636 | Teresa Cuadra | Family Medicine | 275 7th Ave Fl 4, New York, NY 10001-6757 | 2006-07-18 |
| 1841290046 | Debbian Fletcher-blake | Family Medicine | 30 E 33rd St, 5th Floor, New York, NY 10016-5337 | 2005-07-28 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.