Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin M Liu, PA-C

Individual provider Surgical Physician Assistant · NPI 1356837702

Justin M Liu, PA-C is a Physician Assistant in Riverhead, New York. Qualified in 2018, 8 years ago. Practices with Peconic Bay Primary Medical Care, a 72-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

31 Main Rd Ste 3
Riverhead, NY 11901
Phone: (631) 727-6308
Fax: (631) 369-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022149-1 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 022149-1 (NY)

Record details

NPI number1356837702
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESOctober 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Peconic Bay Primary Medical Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Riverhead