Individual provider Active NPI

Liwen Zhu, D.O.

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1790913580
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
259779 Issued in NY
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

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131206000408 NY Practitioner - Family Practice 5496982068 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259779NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primacare Family Medicine PLLC Family Medicine CurrentSince Mar 26, 2016 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.

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

Verify at the official NPI Registry.