Active NPI
Storm Liebling, M.D.
- Emergency Medicine Physician
- New Haven, CT
National Provider Identifier
1326466921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 29034901
- Practice address
- 100 York St Ste 1F
New Haven, CT 06511-5664 - Phone
- (203) 737-7440
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 59171 | CT | |
| Emergency Medicine Physician | 207P00000X | 29034901 | NY | Primary |
Addresses
Primary practice location
100 York St Ste 1F
New Haven, CT 06511-5664
Mailing address
100 York Street
Suit 1F
New Haven, CT 06511
Other practice location 1
1400 Pelham Pkwy S
Jacobi Medical Center
Bronx, NY 10461-1138
Phone (631) 219-3777
Other practice location 2
100 York St Ste 1F
New Haven, CT 06511-5664
Phone (203) 737-7440
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
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29034901 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Children'S Service, University Faculty Practice Corporatio | Pediatrics | Current | Accepting new patients |
| Weill Medical College of Cornell | Emergency Medicine | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Past | Accepting new patients |
Locations
2701 Sunrise Hwy
Islip Terrace, NY 11752
Phone (631) 444-6300
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- sliebling368298@direct.ynhh.org
- sml9026@direct.nyp.org
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1245355270
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Emergency Medicine Physician
- New York, NY
- NPI 1205882586
-
- Medical Toxicology (Emergency Medicine) Physician
- New York, NY
- NPI 1710491568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1326466921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 YORK STREET",
"address_2": "SUIT 1F",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 YORK ST STE 1F",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115664",
"telephone_number": "203-737-7440"
}
],
"practiceLocations": [
{
"address_1": "1400 Pelham Pkwy S",
"address_2": "Jacobi Medical Center",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104611138",
"country_code": "US",
"telephone_number": "631-219-3777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 York St Ste 1F",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115664",
"country_code": "US",
"telephone_number": "203-737-7440",
"fax_number": "203-737-7440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBLING",
"first_name": "STORM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "59171",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "29034901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.