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

Jessica Li

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1194344218

Jessica Li is an Oral Surgery in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Staten Island Oral and Maxillofacial Surgery, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

256 Mason Ave # C
Staten Island, NY 10305-3408
Phone: (718) 226-1251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 South Ave Ste 707, Staten Island, NY 10314-3784 — (718) 226-1251

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 063943 (NY)

Record details

NPI number1194344218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Staten Island Oral And Maxillofacial Surgery — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island