Individual provider Active NPI

Soriaya Lizette Motivala, MD, FAANS

  • Neurological Surgery Physician
  • Staten Island, NY
National Provider Identifier
1760644496
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
275732-01 Issued in NY
Practice address
501 Seaview Ave Ste 201
Staten Island, NY 10305-3400
Phone
(718) 226-4940
Fax
(718) 226-4945
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 275732-01 NY Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 275732 NY

Addresses

Primary practice location

501 Seaview Ave Ste 201
Staten Island, NY 10305-3400

Mailing address

501 Seaview Ave Ste 201
Staten Island, NY 10305-3400
Phone (718) 226-4940

Other practice location 1

3 E 101st St Apt 5D
New York, NY 10029-6530
Phone (317) 709-6503

Other names 1

  • Soriaya Lizette Motivala Other name

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
I20141210001810 NY Practitioner - Neurosurgery 0749502342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

45 -00 Parsons Boulevard
Flushing, NY 11355-2205
Phone (718) 670-5000

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion30
Laminectomy or laminotomy (partial removal of spine bones)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275732NYMDNeurological Surgery Physician
275732-01NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Jan 1, 2016 Accepting new patients
North Shore-Lij Medical PC Multi-Specialty CurrentSince Dec 1, 2018 Accepting new patients
Staten Island University Hospital Past Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

200 W 13th St
#4
New York, NY 10011

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

200 W 13th St
Fl 6
New York, NY 10011
Phone (646) 665-6784

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

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

200 W 13th St
New York, NY 10011
Phone (646) 665-6784

10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124

300 Community Dr
Plandome, NY 11030

256 Mason Ave
Staten Island, NY 10305
Phone (718) 226-9508

501 Seaview Ave
Ste 104
Staten Island, NY 10305
Phone (718) 226-5700

501 Seaview Ave
Ste 201
Staten Island, NY 10305
Phone (718) 226-4940

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

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

Interoperability endpoints

  • Direct secure messaging: smotivala67113@northwell.direct-ci.com

Organizations & group practices 4

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 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1760644496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053400",
            "telephone_number": "718-226-4940",
            "fax_number": "718-226-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SEAVIEW AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053400",
            "telephone_number": "718-226-4940",
            "fax_number": "718-226-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 E 101st St Apt 5D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296530",
            "country_code": "US",
            "telephone_number": "317-709-6503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTIVALA",
        "first_name": "SORIAYA",
        "middle_name": "LIZETTE",
        "credential": "MD, FAANS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "275732-01",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "275732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SORIAYA",
            "last_name": "MOTIVALA",
            "middle_name": "LIZETTE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.