DR. JACK WING KIT LI (NPI# 1245653054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245653054 |
| Entity Type | Individual |
| Full Name | DR. JACK WING KIT LI |
| Credential | D.O. |
| Practice Address |
4500 Parsons Blvd Flushing NY 11355 |
| Practice Telephone | 9177670271 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 273583-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518941723 | Jack C Li | Dentist | 4044 N Milwaukee Ave, Chicago, IL 60641-1833 | 2005-12-01 |
| 1508159435 | Jack Zhe Li | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2011-05-25 |
| 1043450653 | Jack Thomas Li | Chiropractor | 12340 Santa Monica Blvd, Suite 130, Los Angeles, CA 90025-2500 | 2009-02-23 |
| Street Address |
4500 PARSONS BLVD |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558609 | Arkadiy Tsyrlin | Anesthesiology | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2005-06-15 |
| 1225655640 | Maria Camila Rengifo Osorio | Dietitian, Registered | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-07-01 |
| 1013539063 | Hye Ri Han | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-05-13 |
| 1669092623 | Nawal Ahmed | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-20 |
| 1124648274 | Shubham Bhatia | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-19 |
| 1801415146 | Ebony Baron-walden | Art Therapist | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-15 |
| 1346869849 | Valerie Stephanie O'besso | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-14 |
| 1346869898 | Juliet Prieto | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-14 |
| 1396364063 | Luna Zhang | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-13 |
| 1821617580 | Rufus Samuel | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759812 | David Yun Do and Jessica Chin Do, Pllc | Family Medicine | 14205 Roosevelt Ave Unit 112, Flushing, NY 11354-1135 | 2020-04-23 |
| 1578981064 | Rafi Yusuf | Family Medicine | 5707 146th St Ste 1, Flushing, NY 11355-5350 | 2014-04-01 |
| 1174866859 | Wan Tan Chang | Family Medicine | 3808 Union St Ste 3k, Flushing, NY 11354-5670 | 2013-04-01 |
| 1487916367 | Khin Ma Ma Thein | Family Medicine | 13739 45th Ave, Cbwchc, Flushing, NY 11355-4094 | 2012-06-15 |
| 1497026553 | Jin Zhang | Family Medicine | 13107 40th Rd, Ste E18, Flushing, NY 11354-5205 | 2012-01-21 |
| 1770854275 | Access Health Medical, PC | Family Medicine | 5722 Kissena Blvd, Flushing, NY 11355-5545 | 2012-01-16 |
| 1285919068 | Xiaoqin Sarah Yin | Family Medicine | 13620 38th Ave Ste 6f, Flushing, NY 11354-4263 | 2011-10-12 |
| 1982985610 | Sophia Yungwen Lee | Family Medicine | 13617 39th Ave, 4th Floor Suite Cf-e, Flushing, NY 11354-5504 | 2011-09-08 |
| 1487953717 | S&s Medical, P.c | Family Medicine | 70-62 Kissena Blvd, Flushing, NY 11367 | 2011-03-25 |
| 1477851103 | Anna Chan | Family Medicine | 14105 Cherry Ave, Unit 1e, Flushing, NY 11355-3291 | 2011-03-03 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on DR. JACK WING KIT LI.
| 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.