Organization Active NPI

Jian Q Liang DPM P C

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1194005611
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005666 Issued in NY
Legal business name
JIAN Q LIANG DPM P C
Practice address
139 Centre St Ste 211
New York, NY 10013-4553
Phone
(212) 619-2539
Fax
(212) 871-0020
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Jian Q Liang, D.P.M.NPI 1225102791
Title
President
Phone
(212) 619-2539

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005666 NY Primary

Addresses

Primary practice location

139 Centre St Ste 211
New York, NY 10013-4553

Mailing address

139 Centre St Ste 211
New York, NY 10013-4553
Phone (212) 619-2539

Other identifiers 1

IdentifierTypeStateIssuer
03444126MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110922000270 NY Part B Supplier - Clinic/Group Practice 1951572981 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

139 Centre St
Ste 211
New York, NY 10013
Phone (212) 619-2539

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1194005611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134553",
            "telephone_number": "212-619-2539",
            "fax_number": "212-871-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST STE 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134553",
            "telephone_number": "212-619-2539",
            "fax_number": "212-871-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIAN Q LIANG DPM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "JIAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-619-2539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03444126",
            "state": "NY"
        }
    ],
    "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 Aug 28, 2012; 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.