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

Michelle Ji

Individual provider Emergency Medicine Physician · NPI 1619626439

Michelle Ji is an Emergency Medicine in Brooklyn, New York. Graduated from Creighton University School of Medicine in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A208369 (CA)

Record details

NPI number1619626439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 20, 2022
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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