Individual provider Active NPI

Michael Liu

  • Adult Health Clinical Nurse Specialist
  • Brooklyn, NY
National Provider Identifier
1528319480
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
F305669 Issued in NY
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

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129002116 NY Practitioner - Nurse Practitioner 8820332091 Reassigns benefits to 1 organization

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
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

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

LicenseStateTypeSpecialty
F305669NYMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Care, PC CurrentSince Feb 16, 2021 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.

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

Verify at the official NPI Registry.