Healthcare Provider Details

I. General information

NPI: 1649664590
Provider Name (Legal Business Name): HUI HUI LI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADISON LI M.D.

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 AVENUE OF THE AMERICAS FL 4
NEW YORK NY
10011-2020
US

IV. Provider business mailing address

625 AVENUE OF THE AMERICAS FL 4
NEW YORK NY
10011-2020
US

V. Phone/Fax

Practice location:
  • Phone: 347-970-2930
  • Fax:
Mailing address:
  • Phone: 347-970-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA12355300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number25MA12355300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number25MA12355300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: