Individual provider Active NPI

Hongdau Peter Liu, MD, PHD

  • Surgery Physician
  • Bronx, NY
National Provider Identifier
1437653672
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
336999 Issued in NY
Practice address
1575 Blondell Ave
Bronx, NY 10461-2660
Phone
(718) 862-8840
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 336999 NY Primary
Surgical Oncology Physician 2086X0206X 336999 NY

Addresses

Primary practice location

1575 Blondell Ave
Bronx, NY 10461-2660

Mailing address

1575 Blondell Ave
Bronx, NY 10461-2660
Phone (718) 862-8840

Other names 1

  • Peter Hongdau Liu Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001472 NY Practitioner - General SurgeryPractitioner - Surgical Oncology 8224526033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Icahn School of Medicine at Mount Sinai, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
336999NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 12, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Sep 12, 2025 Accepting new patients
Montefiore Medical Center Surgery Current Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

1575 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8260

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: holiu@montefioredirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1437653672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612660",
            "telephone_number": "718-862-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612660",
            "telephone_number": "718-862-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "HONGDAU",
        "middle_name": "PETER",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "336999",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "336999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "LIU",
            "middle_name": "HONGDAU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.