NPI 1215518006 · live from the CMS NPI Registry
Jonathan Liu, MD
Orthopaedic Surgery in Providence, RI. National Provider Identifier 1215518006, active.
NPI record
| NPI | 1215518006 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2 Dudley St Ste 200, Providence, RI 02905 |
| Practice phone | 401-443-4205 |
| Mailing address | 1 Kettle Point Ave, East Providence, RI 02914 |
| Enumerated | April 14, 2021 |
| Last updated | June 25, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | MD21407 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.