Organization Active NPI

Mary Li LLC

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1437560174
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14584 Issued in HI
Legal business name
MARY LI LLC
Practice address
1121 Nuuanu Ave Ste 104
Honolulu, HI 96817-5116
Phone
(808) 537-1133
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Mary Li, MD
Title
Director
Phone
(808) 537-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14584 HI Primary

Addresses

Primary practice location

1121 Nuuanu Ave Ste 104
Honolulu, HI 96817-5116

Mailing address

1121 Nuuanu Ave Ste 104
Honolulu, HI 96817-5116

National Provider Directory

National Provider Directory

Locations

1121 Nuuanu Ave
Ste 104
Honolulu, HI 96817
Phone (808) 433-0472

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1437560174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NUUANU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NUUANU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175116",
            "telephone_number": "808-537-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-537-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "14584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.