Individual provider Active NPI

Qinyue Liu, MD

  • Psychiatry Physician
  • Warren, NJ
National Provider Identifier
1083753669
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA071757 Issued in NJ
Practice address
31 Mountain Blvd
Suite 31W
Warren, NJ 07059-5644
Phone
(908) 222-1532
Fax
(908) 222-1780
NPI assigned
Feb 6, 2007
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA071757 NJ Primary

Addresses

Primary practice location

31 Mountain Blvd
Suite 31W
Warren, NJ 07059-5644

Mailing address

31 Mountain Blvd
Suite 31W
Warren, NJ 07059-5644
Phone (908) 222-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070926000971 NJ Practitioner - Psychiatry 5890880538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

27 Mountain Blvd
Suite 3
Warren, NJ 07059-5605
Phone (908) 222-1532

99 Beauvoir Ave
Summit, NJ 07901-3595
Phone (908) 522-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA071757NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Psychiatric Consultant LLC CurrentSince Jan 26, 2008 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 15, 2007 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

27 Mountain Blvd
Ste 3
Warren, NJ 07059
Phone (732) 507-2365

31 Mountain Blvd
Ste 31W
Warren, NJ 07059
Phone (908) 222-1532

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, 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1083753669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD",
            "address_2": "SUITE 31W",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595644",
            "telephone_number": "908-222-1532",
            "fax_number": "908-222-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MOUNTAIN BLVD",
            "address_2": "SUITE 31W",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595644",
            "telephone_number": "908-222-1532",
            "fax_number": "908-222-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "QINYUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA071757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.