Individual provider Active NPI

Lauri Ann Liskin, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1235248261
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
211489 Issued in NY
Practice address
1199 Park Ave Apt 1C
New York, NY 10128-1712
Phone
(212) 828-6888
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 211489 NY Primary

Addresses

Primary practice location

1199 Park Ave Apt 1C
New York, NY 10128-1712

Mailing address

1199 Park Ave Ste 1-W
New York, NY 10128-1711
Phone (212) 828-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 20, 2018 through Jun 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211489NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Hill Psychiatry PC Psychiatry Current Accepting new patients
Carnegie Hill Psychiatry, PC Psychiatry Current Accepting new patients

Locations

1199 Park Ave
Apt 1C
New York, NY 10128
Phone (212) 828-6888

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1235248261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE STE 1-W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281711",
            "telephone_number": "212-828-6888",
            "fax_number": "347-521-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PARK AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281712",
            "telephone_number": "212-828-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKIN",
        "first_name": "LAURI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.