JACK LIU MD
NPI 1235766858
Surgery in New Hyde Park, NY

Q: What is Jack Liu's NPI number?

The NPI number for Jack Liu is 1235766858. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Jack Liu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Liu was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2020PECOS Enrolled

27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-4557 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Oct 12, 2023, Mar 25, 2020 (3 updates tracked since 2020).

On this page

About Jack Liu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK LIU MD (NPI 1235766858) is an individual surgery provider in New Hyde Park, New York, licensed in New York (315955) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockville Centre, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2020).

NPPES Registry Identity

NPI1235766858

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJACK LIUCredential: MD

Location Address27005 76TH AVENew Hyde Park, NY 11040-1402

Mailing Address182 E 210th St BsmtBronx, NY 10467-2411 · (347) 951-5421

Phone(718) 470-4557

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2020

Enumeration DateMarch 24, 2020

Last NPPES UpdateMay 4, 20263 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1235766858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NY · 315955

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

27005 76TH AVE, New Hyde Park, NY 11040

Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 N Village Ave Ste 211Rockville Centre, NY 11570-1001 · Phone (516) 900-7922

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Liu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961970686

PECOS Enrollment IDI20260511002386

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jack Liu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Acute Care Medical Services PLLC

6.2 mi

Surgery

2000 N VILLAGE AVE STE 2110
Rockville Centre, NY 11570

Reassigned Medicare billing, New York enrollment
14 clinicians in this Medicare group

NPI 1205597473 (516) 714-3741

Long Island Surgical PLLC

6.2 mi

Surgery

2000 N VILLAGE AVE STE 211
Rockville Centre, NY 11570

Reassigned Medicare billing, New York enrollment
15 clinicians in this Medicare group

NPI 1588039119 (516) 900-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YELENA PYATOV MD

Family Medicine

27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7700

DR. FARHEEN HASAN MD

Internal Medicine

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

LONG ISLAND JEWISH MEDICAL CENTER

General Acute Care Hospital

27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7875

ELIZABETH ALISON HOWSE M.D.

Emergency Medicine

27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7501

ANDY CHOY MD

Radiology (Diagnostic Radiology)

27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040

Nassau County (973) 692-8694

JOANNA M MIDY WHNP

Nurse Practitioner (Women's Health)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (516) 470-5304

XIXI XU

Nurse Anesthetist, Certified Registered

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

TYLER WEINSTEIN

Physician Assistant (Medical)

27005 76TH AVE
NEW HYDE PARK, NY 11040

Nassau County (718) 470-7000

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 Jack Liu's NPI number?

The NPI number for Jack Liu is 1235766858. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jack Liu located?

Jack Liu practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-4557.

What is Jack Liu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jack Liu enrolled in Medicare?

Yes. Jack Liu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Liu reassigns Medicare benefits to 2 organizations: Acute Care Medical Services PLLC (Rockville Centre, NY) and Long Island Surgical PLLC (Rockville Centre, NY). Each 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 Jack Liu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Liu was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.