Individual provider Active NPI

Jenny Liu, MD, MS

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1720016108
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07506100 Issued in NJ
Practice address
190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407
Phone
(732) 828-9988
Fax
(732) 828-1010
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07506100 NJ Primary
Nutritionist 133N00000X

Addresses

Primary practice location

190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407

Mailing address

190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407
Phone (732) 828-9988

Other names 1

  • Hao Yee Liu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20080507000033 NJ Practitioner - Internal Medicine 5890874598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

464 Hudson Ter
Englewood, NJ 07632-2917
Phone (201) 541-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA07506100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson MD Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

190 State Route 18
Ste 202
East Brunswick, NJ 08816
Phone (732) 828-9988

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

513 Warrenville Rd
Ste 1
Warren, NJ 07059

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1720016108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 18 STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-828-9988",
            "fax_number": "732-828-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 18 STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-828-9988",
            "fax_number": "732-828-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JENNY",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07506100",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAO YEE",
            "last_name": "LIU",
            "credential": "MD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.