Individual provider Active NPI

Vionna Liu, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1265238315
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2710 Broadway
New York, NY 10025-8719
Phone
(212) 658-0676
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

2710 Broadway
New York, NY 10025-8719

Mailing address

Townsend Harris Hall, 1589 Amsterdam Ave
New York, NY 10031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730004626 NY Practitioner - Physician Assistant 5698282861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
City University of New York School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1150 3Rd Ave
New York, NY 10065-5913
Phone (212) 933-0007

138 Delancey St
New York, NY 10002-3325
Phone (212) 609-2541

138 Fulton St
New York, NY 10038-2521
Phone (212) 271-4896

14 W 14TH St
New York, NY 10011-7524
Phone (212) 390-0558

2025 Broadway
New York, NY 10023-5016
Phone (212) 390-8812

216 E 14TH St
New York, NY 10003-4105

2398 Broadway
New York, NY 10024-1703
Phone (212) 721-2111

315 W 57TH St
New York, NY 10019-3158
Phone (212) 315-2330

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

3556 Broadway
New York, NY 10031-3202
Phone (212) 271-4364

356 W 125TH St
New York, NY 10027-4820
Phone (646) 647-1267

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

561 3Rd Ave
New York, NY 10016-3109
Phone (212) 729-4668

617 W 181St St
New York, NY 10033-4937
Phone (646) 346-7922

654 Broadway
New York, NY 10012-2327
Phone (646) 647-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033571NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Jul 31, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

2710 Broadway
New York, NY 10025
Phone (212) 390-8812

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

Interoperability endpoints

  • Direct secure messaging: vionna.liu.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1265238315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TOWNSEND HARRIS HALL, 1589 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258719",
            "telephone_number": "212-658-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "VIONNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.