Active NPI
Lianne Deserres, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 212745
- Practice address
- 19 Bradhurst Ave Ste 3600S
Hawthorne, NY 10532-2140 - Phone
- (914) 693-7636
- NPI assigned
- Aug 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 212745 | NY | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 212745 | NY | Primary |
Addresses
Primary practice location
19 Bradhurst Ave Ste 3600S
Hawthorne, NY 10532-2140
Mailing address
19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140
Phone (914) 909-9018
Other practice location 1
1055 Saw Mill River Rd
suite 101
Ardsley, NY 10502-1045
Phone (914) 693-7636 ext. 129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932723 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Woods Rd
Valhalla, NY 10595-1530
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aizer Health , Inc. | Pediatric Otolaryngology | Current | Accepting new patients |
| Aizer Health , Inc. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
1055 Saw Mill River Rd
Ste 101
Ardsley, NY 10502
Phone 9146937636 ext. 129
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
19 Bradhurst Ave
Ste 3600S
Hawthorne, NY 10532
Phone (914) 909-4578
49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242
48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464
11 Medical Park Dr
Ste 205
Pomona, NY 10970
Phone (845) 362-1350
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- deserresl@hiemail.healtheconnections.org
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 5
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1063480218
Pediatric Otolaryngology
-
- Federally Qualified Health Center (FQHC)
- Monroe, NY
- NPI 1528941689
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1144336645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3100N",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-909-9018",
"fax_number": "914-909-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BRADHURST AVE STE 3600S",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322140",
"telephone_number": "914-693-7636"
}
],
"practiceLocations": [
{
"address_1": "1055 Saw Mill River Rd",
"address_2": "suite 101",
"address_purpose": "LOCATION",
"city": "Ardsley",
"state": "NY",
"postal_code": "105021045",
"country_code": "US",
"telephone_number": "914-693-7636 x129",
"fax_number": "914-886-0027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESERRES",
"first_name": "LIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "212745",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "NY",
"license": "212745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932723",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.