Active NPI
Enn Kong Liew DMD
- Dentist
- Ny, NY
National Provider Identifier
1346500519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042483
- Practice address
- 13-17 Elizabeth Street
Ste 305
Ny, NY 10013 - Phone
- (212) 925-8171
- NPI assigned
- May 22, 2012
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 042483 | NY | Primary |
Addresses
Primary practice location
13-17 Elizabeth Street
Ste 305
Ny, NY 10013
Mailing address
13-17 Elizabeth Street
Ste 305
Ny, NY 10013
Phone (212) 925-8171
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042483 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1346500519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13-17 ELIZABETH STREET",
"address_2": "STE 305",
"city": "NY",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-925-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13-17 ELIZABETH STREET",
"address_2": "STE 305",
"city": "NY",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-925-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEW DMD",
"first_name": "ENN KONG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.