Active NPI
Qliu Pediatrics PC
- Pediatrics Physician
- Flushing, NY
National Provider Identifier
1134738727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Qing Liu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04854793 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | QLIUPEDS@GMAIL.COM |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatrics Physician
- Flushing, NY
- NPI 1447640032
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.