JESSICA LI
NPI 1194344218
Dentist - Oral and Maxillofacial Surgery in Staten Island, NY
About Jessica Li NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LI (NPI 1194344218) is an individual oral and maxillofacial surgery provider in Staten Island, New York, licensed in New York (063943) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Li is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10305
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Jessica Li's NPI number?
The NPI number for Jessica Li is 1194344218. It was assigned to this individual provider in the NPPES registry on April 9, 2020.
Where is Jessica Li located?
Jessica Li practices at 256 Mason Ave # C, Staten Island, NY 10305. The listed phone number is (718) 226-1251.
What is Jessica Li's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Jessica Li enrolled in Medicare?
Yes. Jessica Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Li reassigns Medicare benefits to Staten Island Oral & Maxillofacial Surgery (Staten Island, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Li accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Jessica Li 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.
Is Jessica Li affiliated with any hospitals?
According to CMS data, Jessica Li is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Jessica Li was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jessica Li · NPI 1194344218
Oral and Maxillofacial Surgery provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 9, 2020.
## Identity
- **NPI:** 1194344218 (Entity type: Individual)
- **Enumerated:** April 9, 2020
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 063943 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 256 MASON AVE # C, Staten Island, NY 10305-3408
- **Phone:** (718) 226-1251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Staten Island Oral & Maxillofacial Surgery (NPI 1316217763, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194344218) · Data from the CMS NPPES public registry.