Individual provider Active NPI

Lide Liu, M.D.

  • Family Medicine Physician
  • Flemington, NJ
National Provider Identifier
1841224755
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10021900 Issued in NJ
Practice address
111 State Route 31 Ste 111
Flemington, NJ 08822-4953
Phone
(908) 284-9880
Fax
(908) 782-4316
NPI assigned
Jul 10, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-114528 IL
Family Medicine Physician 207Q00000X 25MA10021900 NJ Primary

Addresses

Primary practice location

111 State Route 31 Ste 111
Flemington, NJ 08822-4953

Mailing address

111 State Route 31 Ste 111
Flemington, NJ 08822-4953
Phone (908) 284-9880

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lide.liu.p41@direct.hunterdon.nextgenshare.com Direct
Direct Messaging Address lide.liu.p41@direct.hunterdon.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180514002283 NJ Practitioner - Family Practice 7416964986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hunterdon Family Physicians Inc.Group PAC ID 8729984257, 14 clinicians

Practice addresses (Care Compare)

111 State Route 31
Suite 111
Flemington, NJ 08822-4953
Phone (908) 284-9880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114528ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Family Physicians Inc. Family Medicine CurrentSince Apr 3, 2018 Accepting new patients

Locations

111 State Route 31
Ste 111
Flemington, NJ 08822
Phone (908) 284-9880

Interoperability endpoints

  • Direct secure messaging: lide.liu.p41@direct.hunterdon.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1841224755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 31 STE 111",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224953",
            "telephone_number": "908-284-9880",
            "fax_number": "908-782-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 31 STE 111",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224953",
            "telephone_number": "908-284-9880",
            "fax_number": "908-782-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "LIDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-114528",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10021900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lide.liu.p41@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 State Route 31 Ste 111",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lide.liu.p41@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 State Route 31 Ste 111",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.