Amy Elizabeth Liszewski, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

026351 Issued in NY

Practice address

199 Park Club LN Ste 300
Williamsville, NY 14221-5269

Phone

(716) 836-4646

Fax

(716) 836-4696

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.23 of 100Reported as group

Quality

27.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Great Lakes Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1861763005
  Medicare reassignment Care Compare group
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment
• Western New York Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1285682500
  Medicare reassignment
• Kaleida Health

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1427870070
  NPD
• Kaleida Health

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1841886322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISZEWSKI",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Lynn Lipuma
• William John Lipuma Jr., PA
• Lisa Rivera Nurse Practitioner in Psychiatry PLLC
• Lisa S. Ball, Family Health NP, PLLC
• Diane Marie Lisnerski, LPN
• Linda Ann Liszewski, RN
• Marcia Litz, LPN
• Aries Y Liu-Helm, MD
• Hong Liu, MD PHD
• James Livengood, RN

• Physician Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.