Healthcare Provider Details

I. General information

NPI: 1932020351
Provider Name (Legal Business Name): XINYI HUI RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BIRCH ST
LYNN MA
01902-1574
US

IV. Provider business mailing address

87 MEDFORD ST APT 304
MEDFORD MA
02155-6696
US

V. Phone/Fax

Practice location:
  • Phone: 781-596-7939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86147192
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: