Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA08998100 | NJ |
N | 207R00000X | Internist | 25MA08998100 | NJ |
N | 111NI0900X | Internist | 25MA08998100 | NJ |
NPI | 1104100049 |
---|---|
Provider Name | Dr. Lin Li |
First Address | Edison, NJ 08817 |
Second Address | Edison, NJ 08817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2011 |
Last Update Date | 16/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0280453 | (05) | NJ |
1097116 | U.S.FAMILY (01) | NJ |
1097116 | WELLCARE (01) | NJ |
1104100049 | AMERIGROUP (01) | NJ |
1104100049 | COVENTRY HEALTH-FIRST HEALTH (01) | NJ |
1104100049 | HORIZON BCBS (01) | NJ |
1104100049 | UNITED HEATHLCARE (01) | NJ |
1104100049 | VISTA HEALTHCARE SYSTEM & OPTIMUS (01) | NJ |
230120 | CHN (01) | NJ |
3869679000 | AMERIHEALTH (01) | NJ |
5227444 | AETNA HMO (01) | NJ |
60177190 | HORIZON N.J. FAMILYCARE (01) | NJ |
7193009 | CIGNA (01) | NJ |
7N0981 | EMPIRE BC (01) | NJ |
9540774 | AETNA PPO (01) | NJ |
P5255704 | OXFORD (01) | NJ |