Diane Lynn Liss, RPA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

005393-1 Issued in NY

Practice address

87 W Old Country Rd
Hicksville, NY 11801-4003

Phone

(516) 433-1100

Fax

(516) 433-1342

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Long Island Gastroenterology & Liver P.C.

  • Gastroenterology Physician
  • Plainview, NY
  • NPI 1992089296
  NPD (past)
• Long Island Spine & Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Hicksville, NY
  • NPI 1093930653
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1235316340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014003",
            "telephone_number": "516-433-1100",
            "fax_number": "516-433-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014003",
            "telephone_number": "516-433-1100",
            "fax_number": "516-433-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005393-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Linsalata
• Samantha Lipset
• Sophie Max Lipstein, M.A., CF-SLP, TSSLD
• Scott Evan Liptzin, DPT
• Alexandria Lisi
• Litc BH LLC
• Alexander Zhongzheng Liu, DACM
• Joseph Matthew Livecchi, MFT
• Katherine Andrea Lizama, LMSW
• Shaakira Loadholt, COUNSELOR

• Surgical Physician Assistant in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.