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WISDOM MEDICAL P.C.
NPI 1871612044
Clinic/Center in Flushing, NY

Active since March 28, 2007
13625 MAPLE AVE, SUITE201, FLUSHING, NY 11355(718) 939-2669(718) 939-2663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wisdom Medical P.c. NPPES

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

WISDOM MEDICAL P.C. (NPI 1871612044) is a healthcare organization registered as a clinic/center in Flushing, New York and active in the NPI registry since March 2007. The organization lists Lisen Liu, Owner, as its authorized official.

NPPES Registry Identity

NPI1871612044
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWISDOM MEDICAL P.C.
Location Address13625 MAPLE AVE, SUITE201Flushing, NY 11355-3870
Mailing Address13625 Maple Ave, Suite201Flushing, NY 11355-3870 · (718) 939-2669 · Fax (718) 939-2663
Phone(718) 939-2669
Fax(718) 939-2663
Organization SubpartNo
Authorized OfficialLisen LiuOwner · (718) 939-2669
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871612044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 239854
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13625 MAPLE AVE, Flushing, NY 11355
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Other Identifiers 1

Medicaid02818487NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wisdom Medical P.c. 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 Wisdom Medical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisen Liu, MD
Endocrinology
NPI 1265445894
13625 MAPLE AVE SUITE 201,WISDOM MEDICAL PC
Flushing, NY 11355
(718) 939-2669
✔ PECOS✔ Accepts MedicareSame address

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 Wisdom Medical P.C.'s NPI number?

The NPI number for Wisdom Medical P.C. is 1871612044. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Wisdom Medical P.C. located?

Wisdom Medical P.C. is located at 13625 Maple Ave Suite201, Flushing, NY 11355. The listed phone number is (718) 939-2669.

What is Wisdom Medical P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wisdom Medical P.C. enrolled in Medicare?

Yes. Wisdom Medical P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wisdom Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Wisdom Medical P.C.. 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 Wisdom Medical P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.