Active NPI
Mini Ann Liu, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1104865807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 139770
- Practice address
- 227 Madison St
New York, NY 10002-7537 - Phone
- (212) 238-7614
- Fax
- (212) 238-7009
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 139770 | NY | Primary |
Addresses
Primary practice location
227 Madison St
New York, NY 10002-7537
Mailing address
135 Eastern Pkwy
Apt#131
Brooklyn, NY 11238-6054
Phone (718) 857-2849
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104865807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 EASTERN PKWY",
"address_2": "APT#131",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386054",
"telephone_number": "718-857-2849",
"fax_number": "212-238-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MADISON ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100027537",
"telephone_number": "212-238-7614",
"fax_number": "212-238-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "MINI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "139770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.