Individual provider Active NPI

Elizabeth Liang, M.D.

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1740406206
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
261224 Issued in NY
Practice address
39-16 Prince Street
Unit 355
Flushing, NY 11354-5361
Phone
(718) 886-6882
Fax
(718) 886-7883
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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 LP00977 RI
Nephrology Physician 207RN0300X 261224 NY Primary

Addresses

Primary practice location

39-16 Prince Street
Unit 355
Flushing, NY 11354-5361

Mailing address

39-16 Prince Street
Unit 355
Flushing, NY 11354-5361
Phone (718) 886-6882

Other identifiers 1

IdentifierTypeStateIssuer
03381573MedicaidNY

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
I20110617000565 NY Practitioner - NephrologyPractitioner - Internal Medicine 9436337607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown Kidney Care, PLLCGroup PAC ID 5799824165, 5 clinicians

Practice addresses (Care Compare)

139 Centre St
Suite 703
New York, NY 10013-4557
Phone (212) 966-0808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00977RIMDInternal Medicine Physician
261224NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown Kidney Care, PLLC. CurrentSince Dec 1, 2011 Accepting new patients

Locations

1435 86th St
Brooklyn, NY 11228
Phone (718) 238-4441

3916 Prince St
Ste 355
Flushing, NY 11354
Phone (718) 886-6882

139 Centre St
Ste 703
New York, NY 10013
Phone (212) 966-0808

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: eql9001@direct.nyp.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1740406206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39-16 PRINCE STREET",
            "address_2": "UNIT 355",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-6882",
            "fax_number": "718-886-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39-16 PRINCE STREET",
            "address_2": "UNIT 355",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545361",
            "telephone_number": "718-886-6882",
            "fax_number": "718-886-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00977",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "261224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03381573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.