SIMON LI MEDICAL PLLC
NPI 1952887580
Clinic/Center - Primary Care in Brooklyn, NY

Active since July 17, 2018
8510 19TH AVE, BROOKLYN, NY 11214(347) 562-3285(718) 232-8808 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Simon Li Medical Pllc NPPES

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

SIMON LI MEDICAL PLLC (NPI 1952887580) is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since July 2018. The organization lists Simon Li, Md/president, as its authorized official.

NPPES Registry Identity

NPI1952887580
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSIMON LI MEDICAL PLLC
Location Address8510 19TH AVEBrooklyn, NY 11214-3106
Mailing Address8510 19th AveBrooklyn, NY 11214-3106 · (347) 562-3285 · Fax (718) 232-8808
Fax(718) 232-8808
Organization SubpartNo
Authorized OfficialSimon LiMd/president · (347) 562-3285
Enumeration DateJuly 17, 2018
✔ NPI 1952887580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8510 19TH AVE, Brooklyn, NY 11214

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Li 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 Simon Li Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1265751002
8510 19TH AVE
Brooklyn, NY 11214
(347) 562-3285
✔ PECOS✔ Accepts MedicareSame address
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.

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 Simon Li Medical PLLC's NPI number?

The NPI number for Simon Li Medical PLLC is 1952887580. It was assigned to this organization in the NPPES registry on July 17, 2018.

Where is Simon Li Medical PLLC located?

Simon Li Medical PLLC is located at 8510 19th Ave, Brooklyn, NY 11214. The listed phone number is (347) 562-3285.

What is Simon Li Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Simon Li Medical PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Simon Li Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Simon Li 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Simon Li Medical PLLC was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.