Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Wing Kit Li, DO

Individual provider Family Medicine Physician · NPI 1245653054

Dr. Jack Wing Kit Li, DO is a Family Practice in Ozone Park, New York. Qualified in 2012, 14 years ago. Practices with Chs Physician Partners PC, a 747-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone: (718) 641-8207
Fax: (718) 848-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Parsons Blvd, Flushing, NY 11355 — (917) 767-0271

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 273583-1 (NY)

Record details

NPI number1245653054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 29, 2014
Last updated in NPPESJanuary 16, 2021
Certification dateJanuary 16, 2021
Mailing address9120 Atlantic Ave, Ozone Park, NY 11416-1527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ozone Park