Individual provider Active NPI

Pui-Kan Liao, MB BS

  • Specialist
  • Berkeley Heights, NJ
National Provider Identifier
1629043443
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA05290500 Issued in NJ
Practice address
3 High Oaks Dr
Berkeley Heights, NJ 07922-1621
Phone
(908) 656-2827
Fax
(908) 790-9551
NPI assigned
Feb 23, 2006
Last updated
Feb 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05290500 NJ Primary

Addresses

Primary practice location

3 High Oaks Dr
Berkeley Heights, NJ 07922-1621

Mailing address

PO Box 61
Berkeley Heights, NJ 07922-0061
Phone (908) 656-2827

Other identifiers 2

IdentifierTypeStateIssuer
25MA052905OtherNJNJ LICENSE
4044801MedicaidNJ

Other names 1

  • Mrs. Pui-Kan Kao Other name

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
Bachelor of Science, Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1629043443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079220061",
            "telephone_number": "908-656-2827",
            "fax_number": "908-790-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HIGH OAKS DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221621",
            "telephone_number": "908-656-2827",
            "fax_number": "908-790-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "PUI-KAN",
        "name_prefix": "Dr.",
        "credential": "MB BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05290500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA052905",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4044801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PUI-KAN",
            "last_name": "KAO",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.