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

Jason Patrick Li

Individual provider Physician Assistant · NPI 1104653732

Jason Patrick Li is a Physician Assistant in Brooklyn, New York. Graduated from Mercy College in 2024, 2 years ago. Registered with an NPI since 2024.

Years since qualifying
2
Trained at
Mercy College
In the registry since
2024
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Practice location Address checks out

6010 Bay Pkwy Fl 7
Brooklyn, NY 11204-6079
Phone: (718) 283-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104653732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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