Individual provider Active NPI

Donald Liss, MD

  • Physical Medicine & Rehabilitation Physician
  • Englewood, NJ
National Provider Identifier
1548244395
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA04150700 Issued in NJ
Practice address
500 Grand Ave Ste 100
Englewood, NJ 07631-4968
Phone
(201) 567-2277
Fax
(201) 567-7506
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA04150700 NJ Primary

Addresses

Primary practice location

500 Grand Ave Ste 100
Englewood, NJ 07631-4968

Mailing address

500 Grand Ave Ste 100
Englewood, NJ 07631-4968
Phone (201) 567-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100201000236 NJ Practitioner - Physical Medicine and Rehabilitation 4183526296 Reassigns benefits to 1 organization
I20111006000482 NY Practitioner - Physical Medicine and Rehabilitation 4183526296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Medicine and Rehabilitation Center PAGroup PAC ID 1658273750, 26 clinicians

Practice addresses (Care Compare)

365 Route 304
Suite 102
Bardonia, NY 10954-1601
Phone (845) 624-2182

500 Grand Ave
Englewood, NJ 07631-4968
Phone (201) 567-2277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine and Rehabilitation Center PA Physical Medicine & Rehabilitation CurrentSince Jun 28, 1989 Accepting new patients
Hana Healthcare, P.C. PastSince Oct 1, 2019 Accepting new patients

Locations

15 Engle St
Ste 205
Englewood, NJ 07631
Phone (201) 567-2277

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

6132 Riverdale Ave
Bronx, NY 10471
Phone (347) 670-2110

365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dliss@rehabmed.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1548244395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAND AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314968",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GRAND AVE STE 100",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314968",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA04150700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.