Active NPI
Timothy Paul Liszewski, D.C.
- Nutrition Chiropractor
- Amsterdam, NY
National Provider Identifier
1851491500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1063
- Practice address
- 279 W Main St
Amsterdam, NY 12010-2304 - Phone
- (518) 842-1828
- Fax
- (518) 842-8841
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X004673-1 | NY | |
| Nutrition Chiropractor | 111NN1001X | 1063 | SC | Primary |
Addresses
Primary practice location
279 W Main St
Amsterdam, NY 12010-2304
Mailing address
279 W Main St
Amsterdam, NY 12010-2304
Phone (518) 842-1828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001201 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050106000229 | NY | Practitioner - Chiropractic | 3375591357 | Practice locations: Amsterdam, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 Genessee LN
Amsterdam, NY 12010-1833
Phone (518) 842-1828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004673-1 | NY | MD | Neurology Chiropractor |
| 004673 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa a. Megna-Vicinanzo DC PC | Past | Accepting new patients |
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.
-
- Chiropractor
- Albany, NY
- NPI 1740498781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851491500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 W MAIN ST",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120102304",
"telephone_number": "518-842-1828",
"fax_number": "518-842-8841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 W MAIN ST",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120102304",
"telephone_number": "518-842-1828",
"fax_number": "518-842-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISZEWSKI",
"first_name": "TIMOTHY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X004673-1",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "SC",
"license": "1063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10001201",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.