Active NPI
Jessica H Liu, LAC
- Acupuncturist
- New York, NY
National Provider Identifier
1891262218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006404
- Practice address
- 875 Park Ave Apt 1F
New York, NY 10075-0382 - Phone
- (443) 570-0175
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 006404 | NY | Primary |
Addresses
Primary practice location
875 Park Ave Apt 1F
New York, NY 10075-0382
Mailing address
14115 28TH Ave Apt 6E
Flushing, NY 11354-1614
Phone (443) 570-0175
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1891262218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14115 28TH AVE APT 6E",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541614",
"telephone_number": "443-570-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 PARK AVE APT 1F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750382",
"telephone_number": "443-570-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JESSICA",
"middle_name": "H",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006404",
"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 Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.