Individual provider Active NPI

Liza Leung, MD

  • Emergency Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1174787154
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
254798 Issued in NY
Practice address
Stony Brook Medicine Dept of Emergency
HSC, Level 4, Room 080
Stony Brook, NY 11794-8350
Phone
(631) 444-2478
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X P0755 TX
Emergency Medicine Physician 207P00000X 254798 NY Primary

Addresses

Primary practice location

Stony Brook Medicine Dept of Emergency
HSC, Level 4, Room 080
Stony Brook, NY 11794-8350

Mailing address

PO Box 1554
Stony Brook, NY 11794-8350
Phone (631) 444-2478

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000126 NY Practitioner - Emergency MedicinePractitioner - Psychiatry 0749442069 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6000

Hospital & facility affiliations

  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0755TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Oct 6, 2018 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Sep 8, 2016 Accepting new patients
John T. Mather Memorial Hospital Current Accepting new patients
John T. Mather Memorial Hospital Emergency Medicine CurrentSince Feb 23, 2015 Accepting new patients
Stony Brook Emergency Physicians, University Faculty Practice Corporat Emergency Medicine CurrentSince Jan 23, 2015 Accepting new patients
Samaritan Emergency Medical Services, PC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
John T. Mather Memorial Hospital CurrentSince Feb 23, 2015 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 6, 2018 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

300 Community Dr
Plandome, NY 11030

4724 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (631) 474-5900

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

47 Route 25A
Rocky Point, NY 11778
Phone (631) 821-5900

600 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 471-5900

519 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 360-5900

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Interoperability endpoints

  • Direct secure messaging: lleung65215@northwell.direct-ci.com

Organizations & group practices 9

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 7

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1174787154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948350",
            "telephone_number": "631-444-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK MEDICINE DEPT OF EMERGENCY",
            "address_2": "HSC, LEVEL 4, ROOM 080",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948350",
            "telephone_number": "631-444-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "LIZA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "P0755",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "254798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.