Individual provider Active NPI

Lily Liang, PA

  • Physician Assistant
  • New York, NY
National Provider Identifier
1609355791
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
159 East 74TH Street
Mezzanine & 2ND Floor
New York, NY 10021
Phone
(212) 737-3301
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

159 East 74TH Street
Mezzanine & 2ND Floor
New York, NY 10021

Mailing address

2273 E 22ND St
Brooklyn, NY 11229-4811
Phone (646) 250-0851

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126000348 NY Practitioner - Physician Assistant 3971857277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

2 Overhill Rd
Suite 310
Scarsdale, NY 10583-5316
Phone (914) 725-6970

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as group
Quality
66.64
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022662NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Sep 26, 2018 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Sep 26, 2018 Accepting new patients

Locations

164 E Route 59
Nanuet, NY 10954
Phone (845) 623-8074

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

800 2nd Ave
Fl 7
New York, NY 10017
Phone (212) 419-1016

80 Maiden Ln
Rm 703
New York, NY 10038
Phone (212) 385-2400

159 E 74th St
Fl 2
New York, NY 10021
Phone (212) 249-7790

210 E 64th St
Fl 5
New York, NY 10065
Phone (212) 434-2700

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

2 Overhill Rd
Ste 330
Scarsdale, NY 10583
Phone (914) 725-1800

1600 Stewart Ave
Westbury, NY 11590
Phone (516) 222-0793

Interoperability endpoints

  • Direct secure messaging: lily.liang.1@11998.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1609355791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294811",
            "telephone_number": "646-250-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 EAST 74TH STREET",
            "address_2": "MEZZANINE & 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10021",
            "telephone_number": "212-737-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "LILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.