Individual ProviderWei Jie LiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd Rm 80, Stony Brook, NY 11794-0001(631) 444-3880PECOS EnrollmentThis provider is enrolled in PECOS as WEI LI.Based on the most recent information from CMS, provider Wei Jie Li is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1467957423Provider TypeIndividualFull NameLi, Wei JieTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/29/2018Last Updated5/18/2021Contact InformationPractice LocationPractice Address101 Nicolls Rd Rm 80, Stony Brook, NY 11794-0001Phone(631) 444-3880Fax(631) 444-3919Mailing LocationMailing Address101 Nicolls Rd Rm 80, Stony Brook, NY 11794-0001Phone(631) 444-3880Fax(631) 444-3919Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense308357New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer