Active NPI
Tiffany Liang, PA-C
- Physician Assistant
- Flushing, NY
National Provider Identifier
1639866940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 029641
- Practice address
- 3808 Union St Ste 7F
Flushing, NY 11354-5672 - Phone
- (718) 886-1150
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 029641 | NY | Primary |
Addresses
Primary practice location
3808 Union St Ste 7F
Flushing, NY 11354-5672
Mailing address
59 Wyatt Rd
Garden City, NY 11530-3144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029641 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260520000412 | NY | Order and Referring Only - Internal Medicine | 1850860776 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1639866940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 WYATT RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 UNION ST STE 7F",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545672",
"telephone_number": "718-886-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "TIFFANY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "029641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "029641",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.