Individual provider Active NPI

Jamie Liang

  • Physician Assistant
  • Tarrytown, NY
National Provider Identifier
1134877624
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028138 Issued in NY
Practice address
658 White Plains Rd
Tarrytown, NY 10591-5104
Phone
(888) 636-7840
Fax
(267) 479-1321
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028138 NY Primary

Addresses

Primary practice location

658 White Plains Rd
Tarrytown, NY 10591-5104

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (267) 339-7843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220325000025 NY Practitioner - Physician Assistant 0345635504 Reassigns benefits to 2 organizations
I20220426002618 NJ Practitioner - Physician Assistant 0345635504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians

Practice addresses (Care Compare)

36 Lincoln Ave
Rockville Centre, NY 11570-5768
Phone (516) 536-2800

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 271-2536

658 White Plains Rd
Tarrytown, NY 10591-5104
Phone (914) 271-2536

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 366-1557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.37 of 100Reported as group
Quality
69.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028138NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Apr 12, 2022 Accepting new patients
True North Medical Group PC CurrentSince Aug 19, 2024 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Apr 12, 2022 Accepting new patients
True North Medical Group PC Physician Assistant CurrentSince Aug 19, 2024 Accepting new patients
Rothman Orthopaedics of New York, PLLC CurrentSince Mar 21, 2022 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

658 White Plains Rd
Tarrytown, NY 10591
Phone (888) 636-7840

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jliang60911@northwell.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1134877624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "267-339-7843",
            "fax_number": "267-339-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WHITE PLAINS RD",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915104",
            "telephone_number": "888-636-7840",
            "fax_number": "267-479-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.