Individual provider Active NPI

George P Liakeas, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1417049727
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
217334 Issued in NY
Practice address
180 E 79TH St # 1C
New York, NY 10075-0437
Phone
(646) 564-2900
Fax
(646) 328-0804
NPI assigned
Sep 28, 2006
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 217334 NY Primary

Addresses

Primary practice location

180 E 79TH St # 1C
New York, NY 10075-0437

Mailing address

180 E 79TH St # 1C
New York, NY 10075-0437
Phone (646) 564-2900

Other identifiers 1

IdentifierTypeStateIssuer
217334OtherNYNYS MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000291 NY Practitioner - Internal MedicinePractitioner - Family Practice 0941440879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

139 E 57TH St
FL 8
New York, NY 10022-2102
Phone (212) 750-5088

180 E 79TH St
1C
New York, NY 10075-0437
Phone (646) 564-2900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Lexington Medical Associates PC Family Medicine CurrentSince Jul 3, 2013 Accepting new patients
Liakeas Medical PC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

9835 Lake Worth Rd
Ste 16385
Lake Worth, FL 33467
Phone (646) 564-2900

139 E 57th St
Fl 8
New York, NY 10022
Phone (212) 750-5088

Interoperability endpoints

  • Direct secure messaging: george.liakeas.1@22900.direct.athenahealth.com
  • Direct secure messaging: georgeliakeas@mai.allscriptsdirect.net
  • Direct secure messaging: gliakeas66278@northwell.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/22900/brand/1/csg/21/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1417049727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E 79TH ST # 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750437",
            "telephone_number": "646-564-2900",
            "fax_number": "646-328-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E 79TH ST # 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750437",
            "telephone_number": "646-564-2900",
            "fax_number": "646-328-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAKEAS",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "217334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.