Individual provider Active NPI

Timothy Paul Liszewski, D.C.

  • Nutrition Chiropractor
  • Amsterdam, NY
National Provider Identifier
1851491500
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
1063 Issued in SC
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10001201OtherNYCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
X004673-1NYMDNeurology Chiropractor
004673NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.