Individual provider Active NPI

Lina A. Sivio-Lieberman, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1992003057
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014633 Issued in NY
Practice address
245 E 84TH St
New York, NY 10028-2973
Phone
(212) 235-1692
Fax
(212) 235-1693
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014633 NY Primary
Medical Physician Assistant 363AM0700X 014633 NY
Surgical Physician Assistant 363AS0400X 014633 NY

Addresses

Primary practice location

245 E 84TH St
New York, NY 10028-2973

Mailing address

16 Park Place
New York, NY 10007
Phone (347) 843-8657

Other identifiers 1

IdentifierTypeStateIssuer
P01662767OtherNYMEDICARE RAILROAD

Other names 1

  • Lina A. Sivio Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000288 NY Practitioner - Physician Assistant 1850575465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Urgent Care PCGroup PAC ID 2163675372, 9 clinicians

Practice addresses (Care Compare)

1530 43Rd St
Brooklyn, NY 11219-1605
Phone (718) 851-3000

5520 13TH Ave
Brooklyn, NY 11219-4587
Phone (718) 499-1000

5902 18TH Ave
Brooklyn, NY 11204-2201
Phone (718) 621-1000

667 Myrtle Ave
Brooklyn, NY 11205-4180
Phone (347) 361-0681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014633NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Orthopaedics CurrentSince Nov 1, 2015 Accepting new patients
Highline Orthopaedics Physician Assistant CurrentSince Nov 1, 2015 Accepting new patients
Pharma Holding Inc PastSince Jul 23, 2023 Accepting new patients
Rockland Medical Group, PLLC PastSince Apr 15, 2017 Accepting new patients

Locations

1250 Waters Pl
Ste 903
Bronx, NY 10461
Phone (718) 450-9955

245 E 84th St
New York, NY 10028
Phone (212) 876-5400

16 Park Pl
New York, NY 10007
Phone (212) 457-0878

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16286/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1992003057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PARK PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "347-843-8657",
            "fax_number": "347-843-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282973",
            "telephone_number": "212-235-1692",
            "fax_number": "212-235-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVIO-LIEBERMAN",
        "first_name": "LINA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014633",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014633",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01662767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "SIVIO",
            "middle_name": "A.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.