Individual provider Active NPI

Jiayu Liu

  • Acupuncturist
  • East Northport, NY
National Provider Identifier
1376360412
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007589 Issued in NY
Practice address
248 Larkfield Rd Ste C
East Northport, NY 11731-2443
Phone
(631) 985-7770
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007589 NY Primary

Addresses

Primary practice location

248 Larkfield Rd Ste C
East Northport, NY 11731-2443

Mailing address

22511 59TH Ave FL 2
Oakland GDNS, NY 11364-2312
Phone (917) 669-5309

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Qi Acupuncture Acupuncturist CurrentSince Nov 3, 2024 Accepting new patients
Ronglu Acupuncture PC Acupuncturist Past Accepting new patients

Locations

248 Larkfield Rd
Ste C
East Northport, NY 11731
Phone (631) 985-7770

Organizations & group practices 2

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1376360412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22511 59TH AVE FL 2",
            "city": "OAKLAND GDNS",
            "state": "NY",
            "postal_code": "113642312",
            "telephone_number": "917-669-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LARKFIELD RD STE C",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312443",
            "telephone_number": "631-985-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JIAYU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.