MR. JERRY LIAO NPI 1659879211

NPI Information

  • NPI: 1659879211
  • Provider Name: MR. JERRY LIAO
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3050 WHITE PLAINS RD
    BRONX, NY
    ZIP 10467
  • Phone: (929) 348-4794

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NPI Details

MR. Jerry Liao is a psychiatric/mental health nurse practitioner in Bronx, NY. MR. Jerry Liao NPI is 1659879211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3050 WHITE PLAINS RD
BRONX, NY
ZIP 10467-154
Phone: (929) 348-4794

The NPI 1659879211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/30/2018 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult707195NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthF403575NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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