GASTON MIKE LIU LLC
NPI 1114769940
Podiatrist - Foot & Ankle Surgery in Commack, NY
About Gaston Mike Liu Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GASTON MIKE LIU LLC (NPI 1114769940) is a healthcare organization registered as a foot & ankle surgery in Commack, New York and active in the NPI registry since June 2024. The organization lists Gaston Liu, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gaston Mike Liu Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gaston Mike Liu LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gaston Mike Liu LLC's NPI number?
The NPI number for Gaston Mike Liu LLC is 1114769940. It was assigned to this organization in the NPPES registry on June 11, 2024.
Where is Gaston Mike Liu LLC located?
Gaston Mike Liu LLC is located at 366 Veterans Memorial Hwy Ste 9, Commack, NY 11725. The listed phone number is (631) 836-6651.
What is Gaston Mike Liu LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Gaston Mike Liu LLC enrolled in Medicare?
Yes. Gaston Mike Liu LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gaston Mike Liu LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Gaston Mike Liu LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gaston Mike Liu LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gaston Mike Liu Llc · NPI 1114769940
Foot & Ankle Surgery organization in Commack, New York. Organization record, active in the CMS NPPES registry since June 11, 2024.
## Identity
- **NPI:** 1114769940 (Entity type: Organization)
- **Enumerated:** June 11, 2024
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Gaston Liu, PROVIDER
## Practice location
- **Address:** 366 VETERANS MEMORIAL HWY STE 9, Commack, NY 11725-4351
- **Phone:** (631) 836-6651 · **Fax:** (631) 883-6636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114769940) · Data from the CMS NPPES public registry.