Kenneth Bruce Liegner, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

132316 Issued in NY

Practice address

592 Route 22
Suite 1B
Pawling, NY 12564

Phone

(845) 493-0274

Fax

(845) 493-0279

NPI assigned

Apr 7, 2009

Last updated

Sep 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 16, 2014 through Jan 16, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1912140997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROUTE 22",
            "address_2": "SUITE 1B",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "12564",
            "telephone_number": "845-493-0274",
            "fax_number": "845-493-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 ROUTE 22",
            "address_2": "SUITE 1B",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "12564",
            "telephone_number": "845-493-0274",
            "fax_number": "845-493-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEGNER",
        "first_name": "KENNETH",
        "middle_name": "BRUCE",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "132316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Krawczuk
• Cindy Joy Labella
• Laurie Schedgick-Davis, DO
• Patricia Edwards Lee, LCSW
• Robert George Lieb, DC
• Giuseppina Lombardi, DDS
• Darlene D Malave, SLP
• Jodhvir Singh Mangat, MD
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Stacy E McAdams, LPN

• Internal Medicine Physician in Pawling, NY
• Providers in Pawling, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.