JENNIFER LIU PA-C
NPI 1609301167
Physician Assistant - Surgical in Greenvale, NY

Q: What is Jennifer Liu's NPI number?

The NPI number for Jennifer Liu is 1609301167. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Q: What is Jennifer Liu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Liu was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 April 21, 2017PECOS Enrolled

2200 NORTHERN BLVD STE 115, GREENVALE, NY 11548(516) 325-7310 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2021, Apr 21, 2017 (2 updates tracked since 2017).

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About Jennifer Liu Pa-c NPPES

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

JENNIFER LIU PA-C (NPI 1609301167) is an individual surgical provider in Greenvale, New York and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609301167

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJENNIFER LIUCredential: PA-C

Location Address2200 NORTHERN BLVD STE 115Greenvale, NY 11548-1220

Mailing Address2200 Northern Blvd Ste 115Greenvale, NY 11548-1220 · (516) 325-7310

Phone(516) 325-7310

Sole ProprietorNo

Enumeration DateApril 21, 2017

Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2021

✔ NPI 1609301167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

2200 NORTHERN BLVD STE 115, Greenvale, NY 11548

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Liu Pa-c 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.

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 Jennifer Liu's NPI number?

The NPI number for Jennifer Liu is 1609301167. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Jennifer Liu located?

Jennifer Liu practices at 2200 Northern Blvd Ste 115, Greenvale, NY 11548. The listed phone number is (516) 325-7310.

What is Jennifer Liu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Liu enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Liu was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.