Active NPI
Sarah Liss, P.A.
- Physician Assistant
- Rockville Centre, NY
National Provider Identifier
1144275561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 008651
- Practice address
- 1000 N Village Ave
Rockville Centre, NY 11570-1000 - Phone
- (517) 705-1353
- NPI assigned
- May 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 008651 | NY | Primary |
Addresses
Primary practice location
1000 N Village Ave
Rockville Centre, NY 11570-1000
Mailing address
7 Broadway
Lawrence, NY 11559-1706
Phone (516) 239-0969
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008651 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Medical, P.C. | Past | Accepting new patients | |
| Lasante Health Center Inc | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- West Islip, NY
- NPI 1124184544
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1740672732
-
- Urgent Care Clinic/Center
- Forest Hills, NY
- NPI 1073996211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144275561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BROADWAY",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591706",
"telephone_number": "516-239-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115701000",
"telephone_number": "517-705-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "SARAH",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "008651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.