Gaston Mike Liu LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GASTON MIKE LIU LLC

Practice address

366 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4351

Phone

(631) 836-6651

Fax

(631) 883-6636

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Gaston Liu, MDNPI 1104271469

Title

Provider

Phone

(631) 836-6651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaston Mike Liu, DPM

  • Foot & Ankle Surgery Podiatrist
  • Commack, NY
  • NPI 1104271469
  Medicare reassignment NPD Authorized official
• Cristina M. Daian, MD

  • Allergy Physician
  • Commack, NY
  • NPI 1700970027
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1114769940",
    "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": {
        "organization_name": "GASTON MIKE LIU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "GASTON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "631-836-6651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina M Galvin
• Heather Ganz, MS.ED.
• Linda Ganzenmuller, PSYD
• Maria Cristina Garcia-Velasquez, LCSW
• Miriam Garcia
• Alison Gaudy, M.S., CCC-SLP
• Deborah Gazzillo, D.D.S.
• Daphna Y Gelblum, MD
• Lisa Marie Gennari
• Genovese Drug Stores Inc

• Foot & Ankle Surgery Podiatrist in Commack, NY
• Providers in Commack, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.