Ann University Pediatrics, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA071077 Issued in NJ

Legal business name

ANN UNIVERSITY PEDIATRICS, LLC

Practice address

1259 RT 46 East, Troy Office Center
Suite 101, Building 4C
Parsippany, NJ 07054

Phone

(873) 257-8870

Fax

(973) 257-8871

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Annie Hongyan Li, MDNPI 1548298581

Title

Owner/President

Phone

(973) 257-8870

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Annie H. Li, MD Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annie Hongyan Li, M.D.

  • Family Medicine Physician
  • Parsippany, NJ
  • NPI 1548298581
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1063748747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 RT 46 EAST, TROY OFFICE CENTER",
            "address_2": "SUITE 101, BUILDING 4C",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "873-257-8870",
            "fax_number": "973-257-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 RT 46 EAST, TROY OFFICE CENTER",
            "address_2": "SUITE 101, BUILDING 4C",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "873-257-8870",
            "fax_number": "973-257-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN UNIVERSITY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "HONGYAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-257-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA071077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8582301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annie H. Li, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.