Active NPI
Yan Liu, M.D., PLLC
- Specialist
- Jamestown, NY
National Provider Identifier
1598937435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 220487
- Legal business name
- YAN LIU, M.D., PLLC
- Practice address
- 212 Front Street
Jamestown, NY 14701 - Phone
- (716) 484-9330
- NPI assigned
- Apr 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Liu, M.D.
- Title
- Physician
- Phone
- (716) 484-9330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 220487 | NY | Primary |
Addresses
Primary practice location
212 Front Street
Jamestown, NY 14701
Mailing address
212 Front St
Jamestown, NY 14701-6204
Phone (716) 484-9330
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000526387002 | Other | NY | BLUE CROSS |
| 02158721 | Medicaid | NY | |
| 0411358 | Other | NY | INDEPENDENT HEALTH |
| 000255434002 | Other | NY | UNIVERA |
| AA1158 | Other | NY | MEDICARE PIN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1366540684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1598937435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 FRONT ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016204",
"telephone_number": "716-484-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 FRONT STREET",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "14701",
"telephone_number": "716-484-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAN LIU, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "LIU",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "716-484-9330",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "220487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000526387002",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02158721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0411358",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "000255434002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "AA1158",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.