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DR. MAX LIU DDS
NPI 1316642952
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since April 03, 2023PECOS Enrolled
110 BERGEN ST RM B-854, NEWARK, NJ 07103(972) 972-3126(972) 972-7322 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Apr 3, 2023 (2 updates tracked since 2023).

About Dr. Max Liu Dds NPPES

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

DR. MAX LIU DDS (NPI 1316642952) is an individual student in an organized health care education/training program in Newark, New Jersey, licensed in New Jersey (22DI03059300) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1316642952
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MAX LIUCredential: DDS
Location Address110 BERGEN ST RM B-854Newark, NJ 07103-2495
Mailing Address50 GrandviewIrvine, CA 92603-0222 · (949) 981-8891
Phone(972) 972-3126
Fax(972) 972-7322
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1316642952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NJ · 22DI03059300
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 BERGEN ST RM B-854, Newark, NJ 07103
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Secondary Practice Location 1

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-2165 · Fax (704) 355-8856

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Max Liu Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

DR. SHYAM A. SHAH D.M.D.
Dentist
110 BERGEN ST RM B-854
NEWARK, NJ 07103
Essex County (973) 972-4717
RABIE M SHANTI DMD, MD
Oral & Maxillofacial Surgery
110 BERGEN ST RM B-854
NEWARK, NJ 07103
Essex County (739) 972-3126

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 Max Liu's NPI number?

The NPI number for Max Liu is 1316642952. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Max Liu located?

Max Liu practices at 110 Bergen St Rm B-854, Newark, NJ 07103. The listed phone number is (972) 972-3126.

What is Max Liu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Max Liu enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Max Liu was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.