Active NPI
Gaston Mike Liu, DPM
- Foot & Ankle Surgery Podiatrist
- Commack, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N007083-01
- Practice address
- 366 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4351 - Phone
- (631) 836-6651
- Fax
- (631) 883-6636
- NPI assigned
- Apr 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007083 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007083-01 | NY | Primary |
Addresses
Primary practice location
366 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4351
Mailing address
57 Southern Blvd Ste 1
Nesconset, NY 11767-1091
Phone (631) 634-5448
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
366 Veterans Memorial Hwy
Suite 9
Commack, NY 11725-4351
Phone (631) 836-6651
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 175 |
| Removal of skin lesions | 24 |
| Removal of nail tissue | 545 |
| Removal or shaving of skin growth | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007083 | NY | MD | Foot & Ankle Surgery Podiatrist |
| N007083-01 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Mike Liu LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Phase Two Podiatry PC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Family Allergy and Asthma Care, PLLC | Past | Accepting new patients |
Locations
620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936
50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789
366 Veterans Memorial Hwy
Ste 9
Commack, NY 11725
Phone (631) 836-6651
1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
301 Mill Rd
Ste U7
Hewlett, NY 11557
57 Southern Blvd
Ste 1
Nesconset, NY 11767
Phone (631) 584-0069
193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Commack, NY
- NPI 1114769940
-
- Podiatrist
- Hewlett, NY
- NPI 1821333063
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Allergy & Immunology Physician
- South Setauket, NY
- NPI 1811103104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1104271469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 SOUTHERN BLVD STE 1",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671091",
"telephone_number": "631-634-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 VETERANS MEMORIAL HWY STE 9",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254351",
"telephone_number": "631-836-6651",
"fax_number": "631-883-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "GASTON",
"middle_name": "MIKE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N007083",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N007083-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.