Organization Active NPI

Qliu Pediatrics PC

  • Pediatrics Physician
  • Flushing, NY
National Provider Identifier
1134738727
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
QLIU PEDIATRICS PC
Practice address
13636 39TH Ave Ste 3
Flushing, NY 11354-5576
Phone
(929) 336-6266
NPI assigned
Jul 29, 2020
Last updated
Dec 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Qing LiuNPI 1447640032
Title
Owner
Phone
(929) 336-6266

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

13636 39TH Ave Ste 3
Flushing, NY 11354-5576

Mailing address

415 Main St Apt 9H
New York, NY 10044-0357
Phone (929) 336-6266

Other practice location 1

13668 Roosevelt Ave Unit 5D
Flushing, NY 11354-5510
Phone (929) 336-6266

Other identifiers 1

IdentifierTypeStateIssuer
04854793MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL QLIUPEDS@GMAIL.COM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1134738727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST APT 9H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440357",
            "telephone_number": "929-336-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13636 39TH AVE STE 3",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545576",
            "telephone_number": "929-336-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13668 Roosevelt Ave Unit 5D",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545510",
            "country_code": "US",
            "telephone_number": "929-336-6266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QLIU PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "QING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-336-6266"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04854793",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "QLIUPEDS@GMAIL.COM",
            "affiliation": "N",
            "address_1": "13668 Roosevelt Ave Unit 5D",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113545510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.