LI FAMILY MEDICAL PLLC
NPI 1225867393
Family Medicine in Brooklyn, NY

Active since July 29, 2024
8634 BAY PKWY FL 1, BROOKLYN, NY 11214(347) 562-3285 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Li Family Medical Pllc NPPES

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

LI FAMILY MEDICAL PLLC (NPI 1225867393) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since July 2024. The organization lists Simon Li, President, as its authorized official.

NPPES Registry Identity

NPI1225867393
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLI FAMILY MEDICAL PLLC
Location Address8634 BAY PKWY FL 1Brooklyn, NY 11214-4102
Mailing Address8634 Bay Pkwy Fl 1Brooklyn, NY 11214-4102
Organization SubpartNo
Authorized OfficialSimon LiPresident · (347) 562-3285
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1225867393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
8634 BAY PKWY FL 1, Brooklyn, NY 11214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Li Family Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Li Family Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1265751002
8510 19TH AVE
Brooklyn, NY 11214
(347) 562-3285
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1295587798
214 INDIAN HEAD RD
Commack, NY 11725
(917) 607-3818
✔ PECOS42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2313357

Li Family Medical PLLC · Brooklyn, NY
Expired · Oct 29, 2026
CLIA Number33D2313357
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorDr. Simon Li
Laboratory Phone(347) 562-3285
Laboratory LocationLi Family Medical PLLC8634 Bay Parkway 1floor, Brooklyn, NY 11214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medical PLLC's NPI number?

The NPI number for Li Family Medical PLLC is 1225867393. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Li Family Medical PLLC located?

Li Family Medical PLLC is located at 8634 Bay Pkwy Fl 1, Brooklyn, NY 11214. The listed phone number is (347) 562-3285.

What is Li Family Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Li Family Medical PLLC enrolled in Medicare?

Yes. Li Family Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Li Family Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Li Family Medical PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Li Family Medical PLLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.