Individual provider Active NPI

Shawn Shukuang Liu, M.D.

  • Anatomic Pathology Physician
  • New York, NY
National Provider Identifier
1023338068
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
255378 Issued in NY
Practice address
550 First Ave
NYU Langone Medical Center
New York, NY 10016
Phone
(212) 263-5506
NPI assigned
Jun 1, 2010
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 255378 NY Primary

Addresses

Primary practice location

550 First Ave
NYU Langone Medical Center
New York, NY 10016

Mailing address

1010 Adams Ave
Franklin Square, NY 11010-2248

Other names 1

  • Shukuang Liu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140724002282 NY Practitioner - Pathology 1355567496 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Li Queens Medical Care PLLCGroup PAC ID 2961630363, 4 clinicians
Metropolitan Medical Services PCGroup PAC ID 0143583724, 2 clinicians

Practice addresses (Care Compare)

1575 Hillside Ave
New Hyde Park, NY 11040-2501
Phone (516) 775-7112

230 Hilton Ave
Suite 214
Hempstead, NY 11550-8116
Phone (516) 564-1818

421 78TH St
Suite D
Brooklyn, NY 11209-3447
Phone (718) 491-0706

6946 Grand Ave
Maspeth, NY 11378-1827
Phone (718) 986-1491

7401 4TH Ave
Brooklyn, NY 11209-2555
Phone (718) 491-0706

8622 Bay Pkwy
1St FL Suite 1
Brooklyn, NY 11214-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255378NYMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Li Queens Medical Care PLLC CurrentSince May 10, 2025 Accepting new patients
Newtown Gastroenterology PC CurrentSince Oct 1, 2025 Accepting new patients
Isadore P Gutwein MD & Robert a Sable MD PC CurrentSince Jan 6, 2018 Accepting new patients
New York Medical and Diagnostic Services PC Anatomic Pathology CurrentSince May 31, 2017 Accepting new patients
Starlite Medical Services P C Anatomic Pathology Current Accepting new patients
Metropolitan Medical Services PC CurrentSince Mar 1, 2018 Accepting new patients
Gamaliel Immanuel Medical Services PC Anatomic Pathology CurrentSince Jul 8, 2017 Accepting new patients
Regina Medical Services, P.C CurrentSince Nov 10, 2021 Accepting new patients
Seo Jin Medical Care PC CurrentSince Jul 1, 2014 Accepting new patients
Coney Island Medical Diagnostic Services P C Anatomic Pathology CurrentSince May 1, 2020 Accepting new patients
Asadur Miah Physician PC PastSince Apr 11, 2017 Accepting new patients
Pathology Solutions LLC Past Accepting new patients

Locations

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

1704 Mermaid Ave
Ste 6
Brooklyn, NY 11224
Phone (516) 567-5410

2315 86th St
#1
Brooklyn, NY 11214
Phone (718) 333-0093

230 Hilton Ave
Ste 214
Hempstead, NY 11550
Phone (516) 564-1818

6946 Grand Ave
Maspeth, NY 11378
Phone (718) 476-2900

1575 Hillside Ave
Ste 201
New Hyde Park, NY 11040
Phone (516) 216-5950

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1023338068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ADAMS AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FIRST AVE",
            "address_2": "NYU LANGONE MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHAWN",
        "middle_name": "SHUKUANG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "255378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUKUANG",
            "last_name": "LIU",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.