Individual provider Active NPI

Mark Liang, DO

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1649406430
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
251757-1 Issued in NY
Practice address
506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215
Phone
(718) 780-3279
NPI assigned
Jun 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 251757-1 NY Primary

Addresses

Primary practice location

506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215

Mailing address

2 Catharine Street, P.O. Box 550
Park Slope Anesthesia Associates, PC
Poughkeepsie, NY 12602
Phone (866) 868-8416

Other identifiers 2

IdentifierTypeStateIssuer
03139764MedicaidNY
A400015476OtherNYMEDICARE PTAN

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
I20090915000110 NY Practitioner - Anesthesiology 3476609561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Slope Anesthesia Associates PCGroup PAC ID 3870483860, 67 clinicians

Practice addresses (Care Compare)

506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-3279

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251757-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Anesthesia Associates PC Anesthesiology CurrentSince Aug 1, 2009 Accepting new patients

Locations

506 6th St
Slp Anesthesia
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601

Interoperability endpoints

  • Direct secure messaging: mal9292@direct.nyp.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1649406430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE STREET, P.O. BOX 550",
            "address_2": "PARK SLOPE ANESTHESIA ASSOCIATES, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "866-868-8416",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH STREET",
            "address_2": "NY METHODIST HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "251757-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03139764",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400015476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.