KEHUA LI (NPI# 1164488417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164488417 |
| Entity Type | Individual |
| Full Name | KEHUA LI |
| Credential | MD |
| Practice Address |
570 Egg Harbor Rd Suite C-1 Sewell NJ 08080-2359 |
| Practice Telephone | 8562568899 |
| Practice Fax Number | 8562568868 |
| Mailing Telephone | 8562568899 |
| Mailing Fax Number | 8562568868 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | MD417022 | PA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD417022 | PA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
25MA07893300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1164488417 | 01 | |
| NJ | STATE LICENSE | 25MA07893300 | 01 |
| Street Address |
570 EGG HARBOR RD SUITE C-1 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569265 | Jeffrey Peter Kovacs | Orthopaedic Surgery | 570 Egg Harbor Rd, Suite C4, Sewell, NJ 08080-2359 | 2005-06-27 |
| 1003281080 | Kennedy Medical Group Practice, P.C. | Surgery | 570 Egg Harbor Rd, Suite C-2, Sewell, NJ 08080-2359 | 2015-12-02 |
| 1336515360 | Megan Andrade | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2015-08-13 |
| 1891191201 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 570 Egg Harbor Rd, Suite C-4, Sewell, NJ 08080-2359 | 2014-11-12 |
| 1992128094 | Amanda O'loughlin | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2014-01-24 |
| 1568896579 | Ashley Nelson | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-08-27 |
| 1609200070 | Ariel Dubois | Physical Therapist | 570 Egg Harbor Rd, Sewell, NJ 08080-2359 | 2013-08-21 |
| 1780925354 | Theresa Marie Campanella | Physical Therapist | 570 Egg Harbor Rd, Suite B6, Sewell, NJ 08080-2359 | 2013-03-07 |
| 1811248057 | Agwanda M Hickman | Nurse Practitioner | 570 Egg Harbor Rd, C2, Sewell, NJ 08080-2359 | 2012-09-27 |
| 1912256421 | Adam P Dezii | Physical Therapist | 570 Egg Harbor Rd, Suite B-6, Sewell, NJ 08080-2359 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508953035 | Dermatology Center of Washington Township PC | Dermatology | 100 Kings Way E Ste A3, Washington Pavilions, Sewell, NJ 08080-2237 | 2006-10-06 |
| 1518901925 | Gregory Blase Persichetti | Dermatology | 100 Kings Way E, Suite A-3, Sewell, NJ 08080-2237 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205991 | Skin Cancer & Mohs Surgery LLC | Dermatology | 82 E Allendale Rd Ste 8a, Saddle River, NJ 07458-3057 | 2019-10-07 |
| 1528466919 | Coastal Dermatology LLC | Dermatology | 198 Jack Martin Blvd., Brick, NJ 08724 | 2014-12-17 |
| 1578724571 | Kapila V Paghdal | Dermatology | 400 Route 17, Suite 2, Ridgewood, NJ 07450-2010 | 2008-06-23 |
| 1376724575 | American Skin and Cancer Center PC | Dermatology | 25 1st Ave Ste 113, Atlantic Highlands, NJ 07716-1285 | 2007-11-16 |
| 1104950013 | Dermatology Associates of Central New Jersey, Pa | Dermatology | 3548 Route 9, Suite 2, Old Bridge, NJ 08857-2765 | 2007-03-15 |
| 1053478180 | J.barton Sterling | Dermatology | 215 Morris Ave, Spring Lake, NJ 07762-1360 | 2007-01-01 |
| 1083636898 | Christopher Bryant Kruse | Dermatology | 225 Highway 35 Ste 208, Red Bank, NJ 07701-5919 | 2006-07-24 |
| 1518900810 | Dermatology and Laser Center of Northern New Jersey LLC | Dermatology | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3931 | 2006-06-14 |
| 1528001583 | David J Goldberg | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-06-14 |
| 1740237627 | Robert Basil Sollitto | Dermatology | 2 Van Buren Rd, Voorhees, NJ 08043-2370 | 2006-05-27 |
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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.