Active NPI
Dongdong Liu
- Student in an Organized Health Care Education/Training Program
- Bushnell, FL
National Provider Identifier
1366349540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4602 CR 673 # 11086
Bushnell, FL 33513-8358 - Phone
- (732) 659-4090
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4602 CR 673 # 11086
Bushnell, FL 33513-8358
Mailing address
5 Lake Ave Apt 1a
East Brunswick, NJ 08816-1874
Phone (732) 207-1332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1366349540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LAKE AVE APT 1A",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088161874",
"telephone_number": "732-207-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 CR 673 # 11086",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335138358",
"telephone_number": "732-659-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "DONGDONG",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bushnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.