Individual provider Active NPI

Lydia Liao, M.D., PHD., MPH

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1225067804
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA08070600 Issued in NJ
Practice address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone
(856) 488-6500
Fax
(856) 488-6507
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 230213 NY
Diagnostic Radiology Physician 2085R0202X 25MA08070600 NJ Primary

Addresses

Primary practice location

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048

Mailing address

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500

Other practice location 1

2301 S Broad St Fl 2
Philadelphia, PA 19148-3542
Phone (215) 952-9148

Other practice location 2

1 Cooper Plz
Cooper University Radiology
Camden, NJ 08103-1461
Phone (856) 342-2380

Other practice location 3

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 582-2500

Other practice location 4

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 346-6000

Other practice location 5

700 Walnut St
Philadelphia, PA 19106-3505
Phone (215) 503-7300

Other practice location 6

2607 Rhawn St
Philadelphia, PA 19152-3038
Phone (215) 333-0304

Other practice location 7

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

Other practice location 8

111 S 11th St Ste 3390
Philadelphia, PA 19107-4824
Phone (215) 955-2900

Other identifiers 9

IdentifierTypeStateIssuer
2360963OtherNJUNITED HEALTHCARE
2779286000OtherNJAMERIHEALTH/KEYSTONE/IBC
02496871MedicaidNY
60026657OtherNJHORIZON NJ HEALTH
3818841OtherNJCIGNA
1352535OtherNJAETNA
P3737619OtherNJOXFORD
01077798200OtherNJAMERICHOICE
0119636MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040218000227 NY Practitioner - Diagnostic Radiology 1254226350 Reassigns benefits to 1 organization
I20061208000417 NJ Practitioner - Diagnostic Radiology 1254226350 Reassigns benefits to 3 organizations
I20180710000018 PA Practitioner - Diagnostic Radiology 1254226350 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Radiology Associates LLCGroup PAC ID 7315845708, shared by 3 NPIs, 110 clinicians
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians
Methodist Associates in Healthcare of New Jersey, P.C.Group PAC ID 4981965324, 136 clinicians

Practice addresses (Care Compare)

1 W Germantown Pike
East Norriton, PA 19401-1513
Phone (610) 277-3202

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4811

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 488-6500

2301 S Broad St
Philadelphia, PA 19148-3542

3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919

380 N Oxford Valley Rd
Langhorne, PA 19047-8304
Phone (215) 949-5111

4900 Frankford Ave
Philadelphia, PA 19124-2618
Phone (215) 831-2063

999 Route 73 N 101
Jefferson Outpatient Imaging
Marlton, NJ 08053-1227
Phone (856) 424-2929

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Jun 5, 2018 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2024 Accepting new patients
Fpa Hospital Based CurrentSince Sep 1, 2016 Accepting new patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince May 29, 2018 Accepting new patients
Jefferson University Radiology Associates LLC Diagnostic Radiology Current Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Jun 5, 2018 Accepting new patients
Jefferson University Physicians Diagnostic Radiology CurrentSince May 21, 2018 Accepting new patients
Methodist Associates in Healthcare of New Jersey, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Jefferson University Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 3, 2019 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Insight Health Corp PastSince Jul 24, 2020 Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919

999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

534 Second Ave
Ste 102
Collegeville, PA 19426
Phone (610) 831-0500

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

1 W Germantown Pike
Norristown, PA 19401
Phone (610) 277-3202

2301 S Broad St
Fl 2
Philadelphia, PA 19148
Phone (215) 952-9148

850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

700 Walnut St
Philadelphia, PA 19106
Phone (215) 503-7300

111 S 11th St
Fl 3
William Penn Annex West, PA 19107
Phone (215) 955-4804

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1225067804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500",
            "fax_number": "856-488-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6500",
            "fax_number": "856-488-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 S Broad St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191483542",
            "country_code": "US",
            "telephone_number": "215-952-9148",
            "fax_number": "215-952-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cooper Plz",
            "address_2": "Cooper University Radiology",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-342-2380",
            "fax_number": "856-365-0472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Hurffville Cross Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122453",
            "country_code": "US",
            "telephone_number": "856-582-2500",
            "fax_number": "856-218-2096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-346-6000",
            "fax_number": "856-346-6010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063505",
            "country_code": "US",
            "telephone_number": "215-503-7300",
            "fax_number": "215-503-5666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2607 Rhawn St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523038",
            "country_code": "US",
            "telephone_number": "215-333-0304",
            "fax_number": "215-333-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191033373",
            "country_code": "US",
            "telephone_number": "267-443-2020",
            "fax_number": "215-640-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St Ste 3390",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-2900",
            "fax_number": "215-923-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "LYDIA",
        "credential": "M.D., PHD., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "230213",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08070600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2360963",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2779286000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02496871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60026657",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3818841",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1352535",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3737619",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01077798200",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119636",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.