Healthcare Provider Details

I. General information

NPI: 1437557824
Provider Name (Legal Business Name): DR. XIAOPING LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2014
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 GORDON ST
RIDGEFIELD PARK NJ
07660-1150
US

IV. Provider business mailing address

87 RTE 17 N
MAYWOOD NJ
07607
US

V. Phone/Fax

Practice location:
  • Phone: 551-335-0860
  • Fax:
Mailing address:
  • Phone: 347-271-1215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number293210
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA10520400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: