Individual provider Active NPI

Gang Gary Lian, M,D., PH.D.

  • Neurology Physician
  • Essex, CT
National Provider Identifier
1316956501
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
041137 Issued in CT
Practice address
180 Westbrook Rd
Building 5
Essex, CT 06426-1517
Phone
(860) 767-1034
Fax
(860) 767-3434
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurodevelopmental Disabilities Physician 2084P0005X 041137 CT
Neurology Physician 2084N0400X 041137 CT Primary

Addresses

Primary practice location

180 Westbrook Rd
Building 5
Essex, CT 06426-1517

Mailing address

180 Westbrook Rd
Building 5
Essex, CT 06426-1517
Phone (860) 767-1034

Other identifiers 1

IdentifierTypeStateIssuer
001411371MedicaidCT

Other names 1

  • Dr. Gary Gang Lian Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20031204000281 CT Practitioner - Neurology 6305741224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

180 Westbrook Rd
BLDG 5
Essex, CT 06426-1517
Phone (860) 767-1034

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041137CTMDNeurodevelopmental Disabilities Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Shoreline Neurology, LLC Neurology CurrentSince Mar 28, 2010 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Gilead Community Services, Inc. PastSince Mar 28, 2010 Accepting new patients

Locations

180 Westbrook Rd
Bldg 5
Essex, CT 06426
Phone (860) 767-1034

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

117 Main St
Hebron, CT 06248
Phone (860) 228-3888

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

512 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 704-6021

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

420 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-4258

4 Grove Beach Rd N
Ste E
Westbrook, CT 06498

4 Grove Beach Rd N
Westbrook, CT 06498
Phone (860) 664-3553

Organizations & group practices 4

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 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1316956501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WESTBROOK RD",
            "address_2": "BUILDING 5",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261517",
            "telephone_number": "860-767-1034",
            "fax_number": "860-767-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WESTBROOK RD",
            "address_2": "BUILDING 5",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261517",
            "telephone_number": "860-767-1034",
            "fax_number": "860-767-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAN",
        "first_name": "GANG",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M,D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "CT",
            "license": "041137",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "041137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001411371",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "LIAN",
            "middle_name": "GANG",
            "prefix": "DR.",
            "credential": "M.D., PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Essex, CT

Sources for this page

Verify at the official NPI Registry.