Individual provider Active NPI

Liang Liu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rye Brook, NY
National Provider Identifier
1487759080
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
224008 Issued in NY
Practice address
760 Westchester Ave
Rye Brook, NY 10573-1320
Phone
(914) 698-5706
Fax
(914) 698-6624
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 224008 NY Primary

Addresses

Primary practice location

760 Westchester Ave
Rye Brook, NY 10573-1320

Mailing address

760 Westchester Ave
Rye Brook, NY 10573-1341
Phone (914) 698-5706

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
I20240708000194 NY Practitioner - Cardiac Electrophysiology 5698850709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Associates of Staten Island, PLLCGroup PAC ID 6608933171, 6 clinicians

Practice addresses (Care Compare)

360 Edison St
Staten Island, NY 10306-3041
Phone (718) 351-6377

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Associates of Staten Island, PLLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

360 Edison St
Staten Island, NY 10306
Phone (718) 351-6377

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1487759080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTCHESTER AVE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731341",
            "telephone_number": "914-698-5706",
            "fax_number": "914-698-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTCHESTER AVE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731320",
            "telephone_number": "914-698-5706",
            "fax_number": "914-698-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "LIANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "224008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.