Individual provider Active NPI

Ho-Mau Liu, MD

  • Cardiovascular Disease Physician
  • Astoria, NY
National Provider Identifier
1689616484
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
109958 Issued in NY
Practice address
3714 21St Ave
Astoria, NY 11105-1839
Phone
(718) 784-4881
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 109958 NY Primary

Addresses

Primary practice location

3714 21St Ave
Astoria, NY 11105-1839

Mailing address

37-14 21 Ave
Astoria, NY 11105-1839
Phone (718) 784-4881

Other identifiers 1

IdentifierTypeStateIssuer
00195675MedicaidNY

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
I20080702000373 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1153418272 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109958NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Hospital CurrentSince Jun 24, 1999 Accepting new patients
The Mount Sinai Hospital CurrentSince Jun 24, 1999 Accepting new patients
Queens Heart Center Cardiovascular Disease Past Accepting new patients

Locations

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1689616484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-14 21 AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051839",
            "telephone_number": "718-784-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 21ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051839",
            "telephone_number": "718-784-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "HO-MAU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "109958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00195675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.