Individual provider Active NPI

Edmund S. Liu, M.D.

  • Facial Plastic Surgery Physician
  • Verona, NJ
National Provider Identifier
1215032768
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25MA07394800 Issued in NJ
Practice address
207 Pompton Ave
Verona, NJ 07044-3018
Phone
(973) 571-1933
Fax
(973) 571-1904
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 25MA07394800 NJ Primary

Addresses

Primary practice location

207 Pompton Ave
Verona, NJ 07044-3018

Mailing address

207 Pompton Ave
Verona, NJ 07044-3018
Phone (973) 571-1933

Other names 1

  • Edmund S. Liu, MD, PA Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040117000043 NJ Practitioner - Otolaryngology 8729989231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tufts University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmund S. Liu, MD, PAGroup PAC ID 1254427719, 2 clinicians

Practice addresses (Care Compare)

207 Pompton Ave
Verona, NJ 07044-3018
Phone (973) 571-1933

Hospital & facility affiliations

  • Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
92.46 of 100Reported as individual
Quality
94.47
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund S. Liu, MD, PA Facial Plastic Surgery CurrentSince May 1, 2002 Accepting new patients
West Essex OB-GYN Associates, P.C. PastSince May 1, 2002 Accepting new patients

Locations

207 Pompton Ave
Verona, NJ 07044
Phone (973) 239-0052

Interoperability endpoints

  • Direct secure messaging: eliu188835@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1215032768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443018",
            "telephone_number": "973-571-1933",
            "fax_number": "973-571-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070443018",
            "telephone_number": "973-571-1933",
            "fax_number": "973-571-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "EDMUND",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MA07394800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDMUND",
            "last_name": "LIU, MD, PA",
            "middle_name": "S.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.