Active NPI
Diego Liriano Jr., DO
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1396479572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT022134
- Practice address
- 1316 W Ontario St
Philadelphia, PA 19140-5220 - Phone
- (215) 707-3376
- NPI assigned
- Jul 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT022134 | PA | Primary |
Addresses
Primary practice location
1316 W Ontario St
Philadelphia, PA 19140-5220
Mailing address
1635 Perkiomen Ave
Reading, PA 19602-2242
Phone (609) 879-1188
Other practice location 1
7600 Central Ave
Philadelphia, PA 19111-2442
Phone (215) 728-2273
Other practice location 2
100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone (215) 707-1200
Other practice location 3
3401 N Broad Street
Philadelphia, PA 19140-5189
Phone (800) 836-7536
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1396479572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 PERKIOMEN AVE",
"city": "READING",
"state": "PA",
"postal_code": "196022242",
"telephone_number": "609-879-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 W ONTARIO ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405220",
"telephone_number": "215-707-3376"
}
],
"practiceLocations": [
{
"address_1": "7600 Central Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112442",
"country_code": "US",
"telephone_number": "215-728-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Lehigh Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191251012",
"country_code": "US",
"telephone_number": "215-707-1200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 N Broad Street",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405189",
"country_code": "US",
"telephone_number": "800-836-7536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIRIANO",
"first_name": "DIEGO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT022134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.