Healthcare Provider Details

I. General information

NPI: 1255785168
Provider Name (Legal Business Name): JOSHUA LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2016
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SOUTH ST STE 240
MORRISTOWN NJ
07960-6422
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-0816
US

V. Phone/Fax

Practice location:
  • Phone: 973-540-9198
  • Fax: 973-290-7435
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA11231000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: