NPI 1154828713 · live from the CMS NPI Registry
Jay L Liu, DO
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1154828713, active.
NPI record
| NPI | 1154828713 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 593 Eddy Street, Apc 5, Providence, RI 02903 |
| Practice phone | 401-444-3032 |
| Enumerated | April 10, 2018 |
| Last updated | September 27, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | DO01490 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.