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JIAYANG LI
NPI 1962270009
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since December 18, 2023PECOS Enrolled
680 CENTRE ST, BROCKTON, MA 02302(914) 433-6907 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jiayang Li NPPES

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

JIAYANG LI (NPI 1962270009) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962270009
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJIAYANG LI
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address680 Centre StBrockton, MA 02302-3308 · (914) 433-6907
Phone(914) 433-6907
Sole ProprietorYes
Enumeration DateDecember 18, 2023
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1962270009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
680 CENTRE ST, Brockton, MA 02302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jiayang Li 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.

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.

LOUIS D. GOTTLIEB M.D.
Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Plymouth County (508) 941-7065
MS. JAMIE CHYAT PA-C
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7000
BRANDEN M TURNER LMHC
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
CARLY ALEXANDRA CARLIN MD
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
DR. ANGEL TAYLOR MD
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 974-7000
DR. DESIREE A CARLSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Plymouth County (508) 941-7414
DEMIN MA M.D.
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
JENNIFER L. BUNKER
Social Worker
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7268

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 Jiayang Li's NPI number?

The NPI number for Jiayang Li is 1962270009. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Jiayang Li located?

Jiayang Li practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (914) 433-6907.

What is Jiayang Li's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jiayang Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jiayang Li was last updated on March 21, 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.