DR. JING LI (NPI# 1629339312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629339312 |
Entity Type | Individual |
Full Name | DR. JING LI |
Credential | M.D. |
Practice Address |
Stony Brook Surgical Associates, Ufpc Sbumc 100 Nicolls Rd, Hsc Level 19, Rm 090 Stony Brook NY 11794 |
Practice Telephone | 6314448354 |
Mailing Telephone | 6314448354 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2020-08-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
304339 | NY | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD455370 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
100 E Lancaster Ave, Wynnewood, PA 190963450 | 4844762551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
1699956425 | Jing Li | Spec/Tech, Cardiovascular | 8090 Atlantic Blvd, Suite D45, Jacksonville, FL 32211-8429 | 2007-11-20 |
1316028004 | Jing Li | Dentist | 7370 Sawmill Rd, Columbus, OH 43235-1889 | 2006-10-18 |
1952803637 | Jing Hua Li | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-03-08 |
1164971016 | Jing Li | Case Manager/Care Coordinator | 236 2nd Ave, New York, NY 10003-2704 | 2016-10-03 |
1841744935 | Jing Li | Social Worker | 460 Quincy Ave, Quincy, MA 02169-8130 | 2016-08-07 |
1760811020 | Jing Li | Nurse Practitioner | 5414 Fredericksburg Rd, Suite 150, San Antonio, TX 78229-3641 | 2013-11-07 |
1316239502 | Jing Li | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2011-05-06 |
1659551604 | Jing Li | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-11-07 |
1114069739 | Jing Li | Acupuncturist | 95 Trade St, Suite 102, Aurora, IL 60504-8190 | 2007-02-12 |
Street Address |
STONY BROOK SURGICAL ASSOCIATES, UFPC SBUMC 100 NICOLLS RD, HSC LEVEL 19, RM 090 |
City | STONY BROOK |
State | NY |
Zip Code | 11794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
Find all providers in zip 11794 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598109449 | Lucyna Zofia Price | Surgery | Health Science Tower, Stony Brook, NY 11794-7708 | 2013-04-22 |
1902291289 | Edvard Skripochnik | Surgery | 100 Nicolls Rd, Stony Brook, NY 11794-8191 | 2015-04-02 |
1083907836 | Justin Margolis | Surgery | Department of Surgery, Health Sciences Center T19-090, Stony Brook, NY 11794-8191 | 2011-05-25 |
1720307002 | Nicholas Sikalas | Surgery | Stony Brook University Hospital, Health Sciences Tower,level 19, Rm090, Stony Brook, NY 11790 | 2010-05-25 |
1922242114 | Angela Amalia Kokkosis | Surgery | Stony Brook Hospital, Hsc T19-090, Stony Brook, NY 11794-0001 | 2009-05-01 |
1023037934 | Cheng H Lo | Surgery | University Hospital, L5, Stony Brook, NY 11794 | 2006-07-19 |
1073555884 | Apostolos Tassiopoulos | Surgery | University Hospital, L5, Stony Brook, NY 11794-0001 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
Find all providers with the same taxonomy |
City | STONY BROOK |
Zip Code | 11794 |
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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.