Individual provider Active NPI

Jingwen Liao, LAC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1801506506
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007221 Issued in NY
Practice address
197 Hester St Apt 13
New York, NY 10013-5528
Phone
(646) 384-8689
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007221 NY Primary

Addresses

Primary practice location

197 Hester St Apt 13
New York, NY 10013-5528

Mailing address

197 Hester St Apt 13
New York, NY 10013-5528
Phone (646) 384-8689

Other practice location 1

128 Mott St Ste 606
New York, NY 10013-5589
Phone (646) 384-8689

Other identifiers 1

IdentifierTypeStateIssuer
235004730OtherNYNEW YORK STATE ID CARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://docs.google.com/document/d/1TQZFK-LQTu5USpkS3tZz9gmZRJDjEUmpVuB5IjIxUbo/edit Direct

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jingwen Liao Acupuncture PC Acupuncturist Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1801506506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HESTER ST APT 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135528",
            "telephone_number": "646-384-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 HESTER ST APT 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135528",
            "telephone_number": "646-384-8689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Mott St Ste 606",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135589",
            "country_code": "US",
            "telephone_number": "646-384-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "JINGWEN",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE ID CARD",
            "identifier": "235004730",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://docs.google.com/document/d/1TQZFK-LQTu5USpkS3tZz9gmZRJDjEUmpVuB5IjIxUbo/edit",
            "affiliation": "N",
            "endpointDescription": "google docs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "197 Hester St Apt 13",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100135528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.