JENNIFER L LIAO (NPI# 1770750572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770750572 |
| Entity Type | Individual |
| Full Name | JENNIFER L LIAO |
| Credential | M.D. |
| Practice Address |
646 Kings Highway West Deptford NJ 08096 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8568792887 |
| Practice Fax Number | 8568792855 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2010-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA08382700 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639109580 | Jennifer Hongxia Liao | Registered Nurse | 6115 Woodside Ave, Woodside, NY 11377-3542 | 2006-07-04 |
| 1598318487 | Jennifer Liao | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2019-07-19 |
| 1285197368 | Jennifer Liao | Student in an Organized Health Care Education/Training Program | 1020 Sansom St Ste 1651b, Philadelphia, PA 19107-5002 | 2019-04-07 |
| 1144644147 | Jennifer M Liao | Optometrist | 930 Commonwealth Ave, Suite 2a, Boston, MA 02215-1274 | 2014-02-11 |
| 1902151574 | Jennifer Mae Liao | General Acute Care Hospital | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2012-07-19 |
| Street Address |
646 KINGS HIGHWAY |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723668 | Anthony N Mishik | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-04 |
| 1205884681 | Carolyn E Clear | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| 1104874528 | Bradley J Smith | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| 1770531055 | Deborah L Hung | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| 1881642569 | Angela G Knestaut | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699723668 | Anthony N Mishik | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-04 |
| 1194047068 | Keerti Thalayur | Pediatrics | 646 Kings Hwy, West Deptford, NJ 08096 | 2010-02-19 |
| 1083852958 | Jeffrey Petrozzino | Pediatrics | 646 Kings Hwy, West Deptford, NJ 08096 | 2009-01-29 |
| 1023147006 | Erin A. Wright | Pediatrics | 646 Kings Hwy, West Deptford, NJ 08096-3145 | 2007-03-05 |
| 1750394474 | Advocare, LLC | Pediatrics | 646 Kings Hwy, West Deptford, NJ 08096-3145 | 2006-08-14 |
| 1285673723 | Genesis Pediatrics Associates, LLC | Pediatrics | 297 Westwood Dr, Suite 101, West Deptford, NJ 08096-3144 | 2006-06-06 |
| 1780631846 | Heather Ruddock | Pediatrics | 646 Kings Hwy, West Deptford, NJ 08096 | 2006-05-27 |
| 1205884681 | Carolyn E Clear | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| 1104874528 | Bradley J Smith | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| 1770531055 | Deborah L Hung | Pediatrics | 646 Kings Highway, West Deptford, NJ 08096 | 2006-05-05 |
| Find all providers in WEST DEPTFORD | ||||
| City | WEST DEPTFORD |
| Zip Code | 08096 |
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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.