Individual provider Active NPI

Jun Yi Liu, LAC

  • Acupuncturist
  • Flushing, NY
National Provider Identifier
1003145566
Registry record updated Oct 15, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
4055 College Point Blvd FL 2
Flushing, NY 11354-5169
Phone
(917) 285-2279
Fax
(718) 228-6798
NPI assigned
Dec 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

4055 College Point Blvd FL 2
Flushing, NY 11354-5169

Mailing address

4055 College Point Blvd FL 2
Flushing, NY 11354-5169
Phone (917) 285-2279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002415NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderful Acupuncture P.C. CurrentSince Nov 1, 2020 Accepting new patients
HBL Acupuncture P.C. Acupuncturist CurrentSince Oct 19, 2020 Accepting new patients

Locations

4055 College Point Blvd
Fl 2
Flushing, NY 11354
Phone (718) 353-6655

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1003145566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 COLLEGE POINT BLVD FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545169",
            "telephone_number": "917-285-2279",
            "fax_number": "718-228-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 COLLEGE POINT BLVD FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545169",
            "telephone_number": "917-285-2279",
            "fax_number": "718-228-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JUN YI",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-12",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.