Active NPI
Michael Liu
- Adult Health Clinical Nurse Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- F305669
- Practice address
- 730 58TH St
Brooklyn, NY 11220-3917 - Phone
- (718) 567-8808
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | F305669 | NY | Primary |
Addresses
Primary practice location
730 58TH St
Brooklyn, NY 11220-3917
Mailing address
55 Monroe Blvd Apt 2N
Long Beach, NY 11561-4305
Phone (305) 812-8383
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000
137 Willis Ave
Mineola, NY 11501-2677
Phone (516) 750-8000
373 W Main St
Babylon, NY 11702-3023
Phone (516) 750-8000
380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305669 | NY | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Care, PC | Current | Accepting new patients |
Locations
373 W Main St
Babylon, NY 11702
Phone (516) 822-6655
380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000
366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395
137 Willis Ave
Ste 110
Mineola, NY 11501
Phone (516) 741-8822
137 Willis Ave
Fl 2
Mineola, NY 11501
1991 Marcus Ave
Ste M200
New Hyde Park, NY 11042
Phone (516) 204-4242
1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300
915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000
9712 63rd Dr
Ste 1D
Rego Park, NY 11374
Phone (718) 830-0004
11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747
750 Old Country Rd
Bldg 2
Riverhead, NY 11901
Phone (631) 450-1500
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- East Setauket, NY
- NPI 1184871774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1528319480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MONROE BLVD APT 2N",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614305",
"telephone_number": "305-812-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 58TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203917",
"telephone_number": "718-567-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NY",
"license": "F305669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.