Individual provider Active NPI

Jason Shixie Liu, MD

  • Psychiatry Physician
  • Flushing, NY
National Provider Identifier
1669558870
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
216399 Issued in NY
Practice address
3370 Prince St Ste 104
Flushing, NY 11354-2745
Phone
(718) 359-5603
Fax
(718) 359-5610
NPI assigned
Oct 31, 2006
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 216399 NY Primary

Addresses

Primary practice location

3370 Prince St Ste 104
Flushing, NY 11354-2745

Mailing address

3370 Prince St Ste 104
Flushing, NY 11354-2745
Phone (917) 579-0310

Other identifiers 1

IdentifierTypeStateIssuer
02198658MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000053 NY Practitioner - Psychiatry 1254403041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3370 Prince St
Suite 104
Flushing, NY 11354-2745
Phone (718) 359-5603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216399NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J & J Medical Care PLLC CurrentSince Jul 11, 2008 Accepting new patients

Locations

3370 Prince St
Ste 104
Flushing, NY 11354
Phone (718) 359-5603

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1669558870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 PRINCE ST STE 104",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542745",
            "telephone_number": "917-579-0310",
            "fax_number": "718-359-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 PRINCE ST STE 104",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542745",
            "telephone_number": "718-359-5603",
            "fax_number": "718-359-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JASON",
        "middle_name": "SHIXIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "216399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02198658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.