Individual provider Active NPI

Jeffrey Liu, MD

  • Otolaryngology Physician
  • Philadelphia, PA
National Provider Identifier
1679732796
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD440896 Issued in PA
Practice address
3509 N Broad St
Philadelphia, PA 19140
Phone
(215) 707-3663
Fax
(215) 707-6417
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 233530 NY
Otolaryngology Physician 207Y00000X MD440896 PA Primary

Addresses

Primary practice location

3509 N Broad St
Philadelphia, PA 19140

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-3663

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3663

Other practice location 2

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110309000099 PA Practitioner - Otolaryngology 4183806342 Reassigns benefits to 5 organizations
I20250310003460 NJ Practitioner - Otolaryngology 4183806342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1900 Am Dr
Suite 101
Quakertown, PA 18951-6403
Phone (610) 776-4512

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

3445 Highpointe Blvd
Bethlehem, PA 18017-7817
Phone (610) 776-4512

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

755 Memorial Pkwy
Suite 112
Phillipsburg, NJ 08865-2774
Phone (908) 847-8862

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
77.56
Promoting interoperability
100
Improvement activities
40
Cost
76.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233530NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 8, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Feb 19, 2025 Accepting new patients
Guthrie Medical Group, P.C. Otolaryngology CurrentSince Jul 8, 2024 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 10, 2019 Accepting new patients
Star Community Health, Inc Otolaryngology CurrentSince Apr 4, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 10, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC Otolaryngology CurrentSince Feb 19, 2025 Accepting new patients
Specialty Physician Associates, LLC Otolaryngology CurrentSince Sep 1, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients

Locations

755 Memorial Pkwy
Ste 112
Phillipsburg, NJ 08865
Phone (484) 526-7555

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

1728 W Jonathan St
Ste 100
Allentown, PA 18104
Phone (610) 628-1225

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

1900 Am Dr
Ste 101
Quakertown, PA 18951
Phone (267) 875-0080

1077 Rydal Rd
Rydal, PA 19046
Phone (215) 707-7300

1077 Rydal Rd
Ste 201
Rydal, PA 19046
Phone (215) 885-4849

116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651
  • Direct secure messaging: jliu333573@direct-sluhn.org
  • Direct secure messaging: jliu203366@direct-guthrie.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679732796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-7523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-707-3663",
            "fax_number": "215-707-7523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "233530",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD440896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.