Active NPI
Edmund S. Liu, MD, PA
- Facial Plastic Surgery Physician
- Verona, NJ
National Provider Identifier
1053430264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 25MA07394800
- Legal business name
- EDMUND S. LIU, MD, PA
- Practice address
- 207 Pompton Ave
Verona, NJ 07044-3018 - Phone
- (973) 571-1933
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edmund S. Liu, M.D.
- Title
- President
- Phone
- (973) 571-1933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 25MA07394800 | NJ | Primary |
Addresses
Primary practice location
207 Pompton Ave
Verona, NJ 07044-3018
Mailing address
207 Pompton Ave
Verona, NJ 07044-3018
Phone (973) 571-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 Pompton Ave
Verona, NJ 07044
Phone (973) 239-0052
799 Bloomfield Ave
Ste 111
Verona, NJ 07044
Phone (973) 433-7600
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Verona, NJ
- NPI 1215032768
-
- Audiologist
- Roseland, NJ
- NPI 1285891770
-
- Audiologist
- Clifton, NJ
- NPI 1952577298
-
- Specialist
- Livingston, NJ
- NPI 1962576918
-
- Obstetrics Physician
- Livingston, NJ
- NPI 1548203383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235952000000",
"number": "1053430264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 POMPTON AVE",
"city": "VERONA",
"state": "NJ",
"postal_code": "070443018",
"telephone_number": "973-571-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 POMPTON AVE",
"city": "VERONA",
"state": "NJ",
"postal_code": "070443018",
"telephone_number": "973-571-1933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDMUND S. LIU, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2009-03-02",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "EDMUND",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-571-1933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MA07394800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.