MR. JERRY LIAO
NPI 1659879211
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY
About Mr. Jerry Liao NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY LIAO (NPI 1659879211) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (F403575) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jerry Liao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Liao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 54 clinicians in this Medicare group
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 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10467
BRONX, NY 10467
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 Jerry Liao's NPI number?
The NPI number for Jerry Liao is 1659879211. It was assigned to this individual provider in the NPPES registry on January 30, 2018.
Where is Jerry Liao located?
Jerry Liao practices at 3050 White Plains Rd, Bronx, NY 10467. The listed phone number is (929) 348-4794.
What is Jerry Liao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jerry Liao enrolled in Medicare?
Yes. Jerry Liao is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Liao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Liao reassigns Medicare benefits to Nys Office Of Mental Health (Bronx, NY). The 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 Jerry Liao'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 Jerry Liao was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Jerry Liao · NPI 1659879211
Psychiatric/Mental Health physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since January 30, 2018.
## Identity
- **NPI:** 1659879211 (Entity type: Individual)
- **Enumerated:** January 30, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F403575 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3050 WHITE PLAINS RD, Bronx, NY 10467-8154
- **Phone:** (929) 348-4794
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nys Office Of Mental Health (NPI 1336206549, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1659879211) · Data from the CMS NPPES public registry.