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LI ZHANG MD
NPI 1013089457
Pediatrics in Kearny, NJ

Active since November 14, 2006PECOS EnrolledCLIA 31D2276178 · Waiver
232 BELLEVILLE TPKE, KEARNY, NJ 07032(201) 998-3020(201) 998-0021 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Li Zhang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LI ZHANG MD (NPI 1013089457) is an individual pediatrics provider in Kearny, New Jersey, licensed in New Jersey (25MA07574100) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through February 2, 2027.

NPPES Registry Identity

NPI1013089457
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLI ZHANGCredential: MD
Location Address232 BELLEVILLE TPKEKearny, NJ 07032-3203
Mailing Address232 Belleville TpkeKearny, NJ 07032-3203 · (201) 998-3020 · Fax (201) 998-0021
Phone(201) 998-3020
Fax(201) 998-0021
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1013089457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA07574100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
232 BELLEVILLE TPKE, Kearny, NJ 07032
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Other Identifiers 1

Medicaid0030449NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Li Zhang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2276178

Li Zhang MD · Kearny, NJ
Active · expires Feb 2, 2027
CLIA Number31D2276178
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorLi Zhang
Laboratory Phone(201) 998-3020
Laboratory LocationLi Zhang MD232 Belleville Turnpike, Kearny, NJ 07032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN NI MD
Family Medicine
232 BELLEVILLE TPKE
KEARNY, NJ 07032
Hudson County (201) 998-3020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Li Zhang's NPI number?

The NPI number for Li Zhang is 1013089457. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Li Zhang located?

Li Zhang practices at 232 Belleville Tpke, Kearny, NJ 07032. The listed phone number is (201) 998-3020.

What is Li Zhang's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Li Zhang enrolled in Medicare?

Yes. Li Zhang is registered in the Medicare PECOS enrollment system.

Does Li Zhang hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2276178) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Li Zhang accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Li Zhang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Li Zhang was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.