LISEN LIU (NPI# 1265445894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265445894 |
| Entity Type | Individual |
| Full Name | LISEN LIU |
| Credential | MD |
| Practice Address |
13625 Maple Ave Suite 201,wisdom Medical PC Flushing NY 11355-3870 |
| Mailing Address |
13620 38th Ave 6e Flushing NY 11354-4232 |
| Practice Telephone | 7189392669 |
| Practice Fax Number | 7189392663 |
| Mailing Telephone | 7189392669 |
| Mailing Fax Number | 7189392663 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
239854 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02819487 | 05 | |
| NY | TAX IDENTIFICATION | 20-8142542 | 01 |
| Street Address |
13625 MAPLE AVE SUITE 201,WISDOM MEDICAL PC |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560096 | Wilson Ko | Ophthalmology | 13625 Maple Ave, Suite 202, Flushing, NY 11355-3870 | 2005-12-28 |
| 1386940179 | Kee Y. Shum, M.d., P.C. | Internal Medicine | 13625 Maple Ave, Suite 205, Flushing, NY 11355-3870 | 2011-01-27 |
| 1447577283 | Kai-hui Carl Chang | Dentist | 13625 Maple Ave, Suite 208, Flushing, NY 11355-3870 | 2010-05-03 |
| 1700017266 | Jeh-li Kao | Dentist | 13625 Maple Ave, Suite 203, Flushing, NY 11355-3870 | 2009-07-31 |
| 1730341462 | Daniel Chi-chow Kuo | Obstetrics & Gynecology | 13625 Maple Ave, Suite 207, Flushing, NY 11355-3870 | 2008-06-25 |
| 1437365665 | Wilson Ko, M.d., F.a.c.s., P.C. | Clinic/Center | 13625 Maple Ave, Suite 202, Flushing, NY 11355-3870 | 2007-05-15 |
| 1649496175 | Hu Nam Nam Md | Clinic/Center | 13625 Maple Ave, Suite 201, Flushing, NY 11355-3870 | 2007-04-17 |
| 1386764793 | Pofu Hsieh | Dentist | 13625 Maple Ave, Suite 203, Flushing, NY 11355-3870 | 2007-03-30 |
| 1871612044 | Wisdom Medical P.C. | Clinic/Center | 13625 Maple Ave, Suite201, Flushing, NY 11355-3870 | 2007-03-28 |
| 1336232602 | Yi-chuan Chang | Dentist | 13625 Maple Ave, Suite 208, Flushing, NY 11355-3870 | 2006-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144340225 | Anthony Higuk Jung | Internal Medicine | 40-18murray Street, Flushing, NY 11354-4934 | 2007-03-30 |
| 1972588564 | Joseph Michael Tibaldi | Internal Medicine | 5945 161st St, Flushing, NY 11365-1414 | 2005-12-07 |
| 1538614508 | Skyview Comprehensive Medical Care Pllc | Internal Medicine | 13107 40th Rd, E09, Flushing, NY 11354-5116 | 2016-08-19 |
| 1275620742 | Zev Carroll Md PC | Internal Medicine | 14449 70th Ave, Flushing, NY 11367-1713 | 2006-10-06 |
| 1275573990 | Alice K Lee | Internal Medicine | 4161 Kissena Blvd, Concourse Level, Suite # 25a, Flushing, NY 11355-3105 | 2006-06-08 |
| 1780669887 | Daniel Lorber | Internal Medicine | 5945 161st St, Flushing, NY 11365-1414 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.