Active NPI
Dara R Liotta, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- New York, NY
National Provider Identifier
1376795658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 251854
- Practice address
- 110 E 59TH St
Suite 10a
New York, NY 10022-1304 - Phone
- (212) 434-4500
- Fax
- (212) 434-4508
- NPI assigned
- Oct 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 251854 | NY | Primary |
Addresses
Primary practice location
110 E 59TH St
Suite 10a
New York, NY 10022-1304
Mailing address
110 E 59TH St
Suite 10a
New York, NY 10022-1304
Phone (212) 434-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Ann Liberatore, MD, PC | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- New York, NY
- NPI 1356593412
Otolaryngology/Facial Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1376795658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E 59TH ST",
"address_2": "SUITE 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221304",
"telephone_number": "212-434-4500",
"fax_number": "212-434-4508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 59TH ST",
"address_2": "SUITE 10A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221304",
"telephone_number": "212-434-4500",
"fax_number": "212-434-4508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIOTTA",
"first_name": "DARA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-17",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "251854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.