Individual provider Active NPI

Sun H Liauw, MD

  • Radiation Oncology Physician
  • Johnson City, NY
National Provider Identifier
1528047743
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
1279531 Issued in NY
Practice address
22 Harrison St
Johnson City, NY 13790-2142
Phone
(315) 268-9314
Fax
(315) 268-9255
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 1279531 NY Primary

Addresses

Primary practice location

22 Harrison St
Johnson City, NY 13790-2142

Mailing address

1 Oconnor Cir
West Orange, NJ 07052-3668
Phone (973) 324-0177

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1279531NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hill Radiation Oncology Radiation Oncology Past Accepting new patients
Sun H Liauw MD PC Radiation Oncology PastSince Aug 1, 2003 Accepting new patients

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1528047743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OCONNOR CIR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523668",
            "telephone_number": "973-324-0177",
            "fax_number": "973-324-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902142",
            "telephone_number": "315-268-9314",
            "fax_number": "315-268-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAUW",
        "first_name": "SUN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "1279531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.