Active NPI
Jennifer Hongxia Liao
- Acupuncturist
- Woodside, NY
National Provider Identifier
1639109580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003077
- Practice address
- 6115 Woodside Ave
Woodside, NY 11377-3542 - Phone
- (917) 723-5319
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 498320 | NY | |
| Acupuncturist | 171100000X | 003077 | NY | Primary |
Addresses
Primary practice location
6115 Woodside Ave
Woodside, NY 11377-3542
Mailing address
6115 Woodside Ave
Woodside, NY 11377-3542
Phone (917) 723-5319
Other names 1
- Hongxia Liao
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 498320 | NY | MD | Registered Nurse |
| 003077 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1639109580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 WOODSIDE AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773542",
"telephone_number": "917-723-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 WOODSIDE AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773542",
"telephone_number": "917-723-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAO",
"first_name": "JENNIFER",
"middle_name": "HONGXIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "498320",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HONGXIA",
"last_name": "LIAO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.