Kenneth C Liao, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA06723000 Issued in NJ

Practice address

380 2ND Ave
Suite 1000, 10TH Floor
New York, NY 10010-5615

Phone

(973) 219-8658

NPI assigned

Jul 1, 2005

Last updated

Dec 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kenneth C Liao Professional name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Flushing Endoscopy Center LLC

  dba Soho Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Flushing, NY
  • NPI 1861743601

  Anesthesiology

  Medicare reassignment NPD
• West Side Gi, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1588938682
  Medicare reassignment NPD
• Yorkville Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1174873780
  Medicare reassignment NPD
• Kenneth Liao, M.D. L.L.C.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
  • NPI 1851687222
  Authorized official Same address or phone
• Tribeca Anesthesia, LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1952016917
  Authorized official Same address or phone
• Palisade Anesthesia, LLC

  • Anesthesiology Physician
  • Fort Lee, NJ
  • NPI 1134834187
  NPD (past) Authorized official
• Morris Anesthesia Group, PA

  • Anesthesiology Physician
  • Parsippany, NJ
  • NPI 1194728501
  NPD (past)
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1750388039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "SUITE 1000, 10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "973-219-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06723000",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "260274",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06723000",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "260274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "LIAO",
            "middle_name": "C",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Liao, MD
• Jingwen Liao, LAC.
• Jingyi Liao
• Jocelyn Anne Liao, LCSW
• Joseph Hsieh Liao, M.D.
• Matthew Wang Liao
• Min Hua Liao, PHARMD
• Nora Xiaoying Liao
• Pei-Chun Liao, PHD
• Pei-Chun Liao, MS, ATC

• Anesthesiology Physician in New York, NY
• Providers in New York, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.