Active NPI
Evonne H Kaplan-Liss, MD
- Pediatrics Physician
- Hampton Bays, NY
National Provider Identifier
1346481959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 210637
- Practice address
- 225 West Montauk Highway
Hampton Bays, NY 11946 - Phone
- (631) 723-5000
- NPI assigned
- Mar 11, 2009
- Last updated
- Mar 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 210637 | NY | Primary |
Addresses
Primary practice location
225 West Montauk Highway
Hampton Bays, NY 11946
Mailing address
PO Box 1559
Stony Brook, NY 11790-8111
Phone (631) 444-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210637 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1346481959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117908111",
"telephone_number": "631-444-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WEST MONTAUK HIGHWAY",
"city": "HAMPTON BAYS",
"state": "NY",
"postal_code": "11946",
"telephone_number": "631-723-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPLAN-LISS",
"first_name": "EVONNE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "210637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton Bays, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.