1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Dentist
  6. NPI Profile

JESSICA LI
NPI 1194344218
Dentist - Oral and Maxillofacial Surgery in Staten Island, NY

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
256 MASON AVE # C, STATEN ISLAND, NY 10305(718) 226-1251 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Jun 12, 2024, Apr 9, 2020 (3 updates tracked since 2020).

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, maintains a secondary practice location in Staten Island, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194344218
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameJESSICA LI
Location Address256 MASON AVE # CStaten Island, NY 10305-3408
Mailing Address256 Mason Ave # CStaten Island, NY 10305-3408 · (914) 262-8642
Phone(718) 226-1251
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateAugust 18, 20253 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1194344218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 063943
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
256 MASON AVE # C, Staten Island, NY 10305
Open in Google Maps ↗

Secondary Practice Location 1

Location 11441 South Ave Ste 707Staten Island, NY 10314-3784 · Phone (718) 226-1251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2769987718
PECOS Enrollment IDI20250923000295
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.

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 15

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

MISS ALLISON EDWARDS L.M.S.W.
Social Worker
256 MASON AVE # C, DEPARTMENT OF REHAB MEDICINE, PEDIATRIC REHAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-6380
YASMIN EUTON
Nurse Practitioner (Family)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (182) 266-2317
DR. QUSAI HAMMOURI MBBS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-1249
ANGELA DIMEGLIO MS CCC SLP
Speech-Language Pathologist
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6504
OLGA MOTORINA ACNP
Nurse Practitioner (Acute Care)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6182
MRS. NANCY J DAVIS OTR
Occupational Therapist (Pediatrics)
256 MASON AVE # C, PEDIATRIC REHAB 1ST FLOOR
STATEN ISLAND, NY 10305
Richmond County (718) 226-6916
MRS. MICHELLE ROSALIE VAL-BASKIN M.S., CCC-SLP
Speech-Language Pathologist
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-5998
SCARLETT ALCUDIA
Nurse Practitioner (Family)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6085

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.

What insurance does Jessica Li accept?

Health plans from Florida Combined Life, Humana and UnitedHealthcare 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.

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 11 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.