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DR. SUZANNE C LI MD
NPI 1295789147
Pediatrics - Pediatric Rheumatology in Hackensack, NJ

Active since May 22, 2006PECOS Enrolled
75.8/100
CMS Quality Rating
30 PROSPECT AVE, IMUS 348, HACKENSACK, NJ 07601(551) 996-5306(201) 996-9815 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Suzanne C Li Md NPPES

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

DR. SUZANNE C LI MD (NPI 1295789147) is an individual pediatric rheumatology provider in Hackensack, New Jersey, licensed in New Jersey (25MA067968) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295789147
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameDR. SUZANNE C LICredential: MD
Location Address30 PROSPECT AVE, IMUS 348Hackensack, NJ 07601-1914
Mailing Address30 Prospect Ave, Imus 348Hackensack, NJ 07601-1914 · (551) 996-5306 · Fax (201) 996-9815
Phone(551) 996-5306
Fax(201) 996-9815
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 5, 2017
✔ NPI 1295789147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in NJ · 25MA067968
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
30 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Other Identifiers 2

Other25MA067968NJ · Nj State Medical License
Medicare UPING96629NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suzanne C Li 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suzanne Li reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
38 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 Suzanne Li's NPI number?

The NPI number for Suzanne Li is 1295789147. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Suzanne Li located?

Suzanne Li practices at 30 Prospect Ave Imus 348, Hackensack, NJ 07601. The listed phone number is (551) 996-5306.

What is Suzanne Li's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Suzanne Li enrolled in Medicare?

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

Which organizations bill Medicare for Suzanne Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Li reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each 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 Suzanne Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Li accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Suzanne 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 Suzanne Li was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.