Scott A Liberty, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003781 Issued in NY

Practice address

79 Hammond LN
Suite 2
Plattsburgh, NY 12901-2008

Phone

(518) 563-5900

NPI assigned

Dec 29, 2009

Last updated

Dec 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: scott.liberty@pmol-ny.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Plattsburgh Medical Care, PLLC

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1982703070
  Medicare reassignment
• Beach Medical Services

  • Primary Care Clinic/Center
  • Plattsburgh, NY
  • NPI 1881078079
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1053641886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 STATE ROUTE 3",
            "city": "SARANAC",
            "state": "NY",
            "postal_code": "129813104",
            "telephone_number": "518-293-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN",
            "address_2": "SUITE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-563-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERTY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lee Leonard, MHC-LP
• Amanda Lepage
• Ilene B Leshinsky, LCSWR
• Krystal Lewis
• LGS Counseling Services
• Jana Lichtenfeld, M.D.
• Kathryn Marie Liggett, M.A. SLP
• Li-Chieh Lin, DMD
• Amanda Linares Mercedes
• Lincare Inc.

• Physician Assistant in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.