Active NPI
Liwen Zhu, D.O.
- Family Medicine Physician
- Elmhurst, NY
National Provider Identifier
1790913580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 259779
- Practice address
- 84-25 Elmhurst Ave.
Unit# P2
Elmhurst, NY 11373 - Phone
- (718) 898-2010
- Fax
- (718) 898-2012
- NPI assigned
- Jun 30, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 259779 | NY | Primary |
Addresses
Primary practice location
84-25 Elmhurst Ave.
Unit# P2
Elmhurst, NY 11373
Mailing address
8425 Elmhurst Ave
Unit# P2
Elmhurst, NY 11373-3359
Phone (718) 898-2010
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
84 -25 Elmhurst Ave
Unit P2
Elmhurst, NY 11373-3359
Phone (718) 898-2018
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259779 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primacare Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Focus Medical Health PLLC | Past | Accepting new patients |
Locations
8425 Elmhurst Ave
Ste P2
Elmhurst, NY 11373
Phone (718) 898-2010
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
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.
-
- Family Medicine Physician
- Elmhurst, NY
- NPI 1013378793
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1770793432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1790913580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 ELMHURST AVE",
"address_2": "UNIT# P2",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113733359",
"telephone_number": "718-898-2010",
"fax_number": "718-898-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84-25 ELMHURST AVE.",
"address_2": "UNIT# P2",
"city": "ELMHURST",
"state": "NY",
"postal_code": "11373",
"telephone_number": "718-898-2010",
"fax_number": "718-898-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHU",
"first_name": "LIWEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "259779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.