Active NPI
Susan Liang, CNM
- Midwife
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 002028
- Practice address
- Stony Brook University Hospital HSC Level 9, Room 090
Stony Brook, NY 11794-1402 - Phone
- (631) 444-3987
- NPI assigned
- Oct 24, 2020
- Last updated
- Apr 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | NU | ||
| Midwife | 176B00000X | 002028 | NY | Primary |
Addresses
Primary practice location
Stony Brook University Hospital HSC Level 9, Room 090
Stony Brook, NY 11794-1402
Mailing address
178 Park Ave
Williston Park, NY 11596-1130
Other practice location 1
27005 76th Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-5304
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| University Associates in Obstetrics & Gynecology, University Faculty P | Current | Accepting new patients | |
| University Hospital at Stony Brook | Current | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Manhasset, NY 11030
27005 76th Ave
North New Hyde Pk, NY 11040
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- susan.liang@direct.stonybrookmedicine.edu
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1487253001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 PARK AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115961130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL HSC LEVEL 9, ROOM 090",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117941402",
"telephone_number": "631-444-3987"
}
],
"practiceLocations": [
{
"address_1": "27005 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401402",
"country_code": "US",
"telephone_number": "718-470-5304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIANG",
"first_name": "SUSAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-24",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "002028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.