Active NPI
Lora Liu
- Gynecology Physician
- Jersey City, NJ
National Provider Identifier
1730470865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 268428
- Practice address
- 377 Jersey Ave Ste 220
Jersey City, NJ 07302-4396 - Phone
- (212) 381-0796
- Fax
- (646) 248-5182
- NPI assigned
- Apr 24, 2011
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 268428 | NY | Primary |
Addresses
Primary practice location
377 Jersey Ave Ste 220
Jersey City, NJ 07302-4396
Mailing address
4 S Orange Ave # 254
South Orange, NJ 07079-1702
Phone (212) 381-0796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268428 | NY | MD | Gynecology Physician |
Interoperability endpoints
- lliu65790@northwell.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1730470865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S ORANGE AVE # 254",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791702",
"telephone_number": "212-381-0796",
"fax_number": "646-248-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 JERSEY AVE STE 220",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024396",
"telephone_number": "212-381-0796",
"fax_number": "646-248-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "LORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-24",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "268428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.