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DR. SIMON LI M.D.
NPI 1871560409
Pediatrics - Pediatric Critical Care Medicine in New Brunswick, NJ

Active since March 02, 2006PECOS Enrolled
1 ROBERT WOOD JOHNSON PL RM 328, NEW BRUNSWICK, NJ 08901(203) 939-8287 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Simon Li M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIMON LI M.D. (NPI 1871560409) is an individual pediatric critical care medicine provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10844000) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Greenwich.

NPPES Registry Identity

NPI1871560409
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SIMON LICredential: M.D.
Location Address1 ROBERT WOOD JOHNSON PL RM 328New Brunswick, NJ 08901-1928
Mailing Address16 Hettiefred RdGreenwich, CT 06831-3205 · (203) 939-8287 · Fax (888) 323-3083
Phone(203) 939-8287
Sole ProprietorYes
Enumeration DateMarch 2, 2006
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1871560409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NJ · 25MA10844000
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10844000 (NJ)
Also ListedPediatricsTaxonomy 208000000X · License 046079 (CT), 25MA10844000 (NJ)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 223798 (MA)
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X · License 257559-1 (NY)
1 ROBERT WOOD JOHNSON PL RM 328, New Brunswick, NJ 08901
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Secondary Practice Location 1

Location 116 Hettiefred RdGreenwich, CT 06831-3205 · Phone (203) 939-8287 · Fax (888) 323-3083

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simon Li M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Simon Li reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Health-Rwj Pediatric Critical Care
Same address
Pediatric Critical Care Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
NPI 1164510400 (732) 235-7900
Boston Children's Health Physicians, LLP
53 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Li's NPI number?

The NPI number for Simon Li is 1871560409. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Simon Li located?

Simon Li practices at 1 Robert Wood Johnson Pl Rm 328, New Brunswick, NJ 08901. The listed phone number is (203) 939-8287.

What is Simon Li's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Simon Li enrolled in Medicare?

Yes. Simon Li is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simon Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Li reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ) and Boston Children's Health Physicians, LLP (Hawthorne, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Simon Li was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.