Stuart Liederson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209961 Issued in NY

Practice address

3121 Route 9W
Suite 104
New Windsor, NY 12553-6722

Phone

(845) 562-2272

Fax

(845) 562-1973

NPI assigned

Feb 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1083680649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 ROUTE 9W",
            "address_2": "SUITE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536722",
            "telephone_number": "845-562-2272",
            "fax_number": "845-562-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 ROUTE 9W",
            "address_2": "SUITE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536722",
            "telephone_number": "845-562-2272",
            "fax_number": "845-562-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDERSON",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS",
            "identifier": "1083680649",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "1730276395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Leroy
• Brittney Lettieri
• Louis J Leva, DDS
• Seth Alan Levin, M.D.
• Charissa Patricia Lewis, MD
• Julia Lim, FNP
• Lincare Inc
• Madison Lindo, OTR/L
• Abigail Mae Lisi, RD
• Little Angels Club, Corp.

• Internal Medicine Physician in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.