Organization Active NPI

Kenneth Liao, M.D. L.L.C.

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1851687222
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
260274 Issued in NY
Legal business name
KENNETH LIAO, M.D. L.L.C.
Practice address
380 2ND Ave
Suite 1000. 10TH Floor
New York, NY 10010-5615
Phone
(973) 219-8658
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Kenneth Liao
Title
Managing Partner
Phone
(973) 219-8658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 260274 NY Primary

Addresses

Primary practice location

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

Mailing address

PO Box 515
160 Eagle Rock Avenue
Roseland, NJ 07068-0515

National Provider Directory

National Provider Directory

Locations

2231 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 944-1008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1851687222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "address_2": "160 EAGLE ROCK AVENUE",
            "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": {
        "organization_name": "KENNETH LIAO, M.D. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-219-8658"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "260274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 21, 2012; 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.