Steven Liakos, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MB03232200 Issued in NJ

Practice address

406 Lippincott Dr
Suite E
Marlton, NJ 08053-4168

Phone

(856) 983-1900

Fax

(856) 983-1914

NPI assigned

Jan 9, 2006

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sliakos19354@directvirtua.org

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.

• South Jersey Gastroenterology PA

  • Anesthesiology Physician
  • Voorhees, NJ
  • NPI 1356514335
  Authorized official Same address or phone
• South Jersey Gastroenterology, PA

  • Gastroenterology Physician
  • Marlton, NJ
  • NPI 1871537225
  Authorized official Same address or phone
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1295713212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 LIPPINCOTT DR",
            "address_2": "SUITE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534168",
            "telephone_number": "856-983-1900",
            "fax_number": "856-983-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAKOS",
        "first_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB3232200",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB03232200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00931004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0084833000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "777 Route 70 E Ste B-101",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "524 Williamstown Rd Ste A",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080811800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "1529 Route 206 Ste L",
            "city": "Tabernacle",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080888801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "406 Lippincott Dr",
            "address_2": "Suite E",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "111 Vine St",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "501 5th St Ste C",
            "city": "Atco",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080041861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Berlin Cross Keys Rd",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080099263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "807 N Haddon Ave Ste 201",
            "city": "Haddonfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080331749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sliakos19354@directvirtua.org",
            "affiliation": "N",
            "address_1": "106 Creek Crossing Blvd",
            "city": "Hainesport",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080362765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gary H. Levin, MD
• Stacy Lewin, MD
• Jennifer Liang, PA-C
• Liberty Corner Surgical Center at Marlton LLC
• Lice Lifters Marlton NJ
• Kristin Elizabeth Lieberman, M.A.
• Liebman Wellness Center, P.C.

• Gastroenterology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.