| Annie H. Li, Md | |
|
1259 Rt 46 East, Troy Office Center Suite 101, Building 4c Parsippany NJ 07054 | |
| (873) 257-8870 | |
| (973) 257-8871 |
| Full Name | Annie H. Li, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1259 Rt 46 East, Troy Office Center, Parsippany, New Jersey |
| Authorized Official Name and Position | Annie Hongyan Li (OWNER/PRESIDENT) |
| Authorized Official Contact | 9732578870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie H. Li, Md 1259 Rt 46 East, Troy Office Center Suite 101, Building 4c Parsippany NJ 07054 Ph: (873) 257-8870 | Annie H. Li, Md 1259 Rt 46 East, Troy Office Center Suite 101, Building 4c Parsippany NJ 07054 Ph: (873) 257-8870 |
| NPI Number | 1063748747 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 10/30/2009 |
| Medicare PECOS PAC ID | 7810127362 |
|---|---|
| Medicare Enrollment ID | O20140228000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063748747 | NPI | - | NPPES |
| 8582301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA071077 (New Jersey) | Primary |
| Provider Name | Annie Hongyan Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548298581 PECOS PAC ID: 0143210435 Enrollment ID: I20040518000144 |
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