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LI MEDICAL GROUP PLLC
NPI 1144878414
Internal Medicine in New Hyde Park, NY

Active since August 29, 2019
2090 JERICHO TPKE, NEW HYDE PARK, NY 11040(516) 352-7828 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2020, Feb 21, 2020, Sep 3, 2019 and 1 more (4 updates tracked since 2019).

About Li Medical Group Pllc NPPES

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

LI MEDICAL GROUP PLLC (NPI 1144878414) is a healthcare organization registered as an internal medicine in New Hyde Park, New York and active in the NPI registry since August 2019. The organization lists Luke Walton, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1144878414
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLI MEDICAL GROUP PLLC
Location Address2090 JERICHO TPKENew Hyde Park, NY 11040-4719
Mailing Address2090 Jericho TpkeNew Hyde Park, NY 11040-4719
Phone(516) 352-7828
Organization SubpartNo
Authorized OfficialLuke WaltonEnrollment Manager · (951) 900-3156
Enumeration DateAugust 29, 2019
Last NPPES UpdateJune 10, 20204 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1144878414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
2090 JERICHO TPKE, New Hyde Park, NY 11040
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Other Identifiers 1

Medicaid01439550NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. INDRAVADAN DAVE MD
General Practice
2090 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (513) 352-7828
STATMD PHYSICIANS, PLLC
Clinic/Center (Emergency Care)
2090 JERICHO TPKE
NEW HYDE PARK, NY 11040
Nassau County (516) 352-7828

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 Medical Group PLLC's NPI number?

The NPI number for Li Medical Group PLLC is 1144878414. It was assigned to this organization in the NPPES registry on August 29, 2019.

Where is Li Medical Group PLLC located?

Li Medical Group PLLC is located at 2090 Jericho Tpke, New Hyde Park, NY 11040. The listed phone number is (516) 352-7828.

What is Li Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Li Medical Group PLLC was last updated on June 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.