Active NPI
Kang Liu
- Adult Medicine Physician
- Brooklyn, NY
National Provider Identifier
1245394105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 132323
- Practice address
- 387 Clinton St
Brooklyn, NY 11231-3659 - Phone
- (718) 624-2776
- Fax
- (718) 694-9681
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 132323 | NY | Primary |
Addresses
Primary practice location
387 Clinton St
Brooklyn, NY 11231-3659
Mailing address
387 Clinton St
Brooklyn, NY 11231-3659
Phone (718) 624-2776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1245394105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313659",
"telephone_number": "718-624-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 CLINTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112313659",
"telephone_number": "718-624-2776",
"fax_number": "718-694-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "KANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "132323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.