DR. MATTHEW JAY LISS (NPI# 1194922435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194922435 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAY LISS |
| Credential | M.D. |
| Practice Address |
30 Rockefeller Plaza Nbcu Medical Deptroom 750s New York NY 10112 |
| Mailing Address |
30 Rockefeller Plz Nbcu Medical Dept., Room 750s New York NY 10112-0002 |
| Practice Telephone | 2126642322 |
| Practice Fax Number | 2126645610 |
| Mailing Telephone | 2126642322 |
| Mailing Fax Number | 2126645610 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 171959 | NY | Other Service Providers |
| Street Address |
30 ROCKEFELLER PLAZA NBCU MEDICAL DEPTROOM 750S |
| City | NEW YORK |
| State | NY |
| Zip Code | 10112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395518 | Carolyn Sun | Nurse Practitioner | 30 Rockefeller Plaza, Nbc Universal Employee Health, New York, NY 10020 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912008848 | Value Drugs Rock Inc | Pharmacy | 30 Rockefeller Plz, New York, NY 10112-0002 | 2006-09-25 |
| 1003021718 | Eva Andersson | Clinic/Center | 30 Rockefeller Plz, Room 750s, New York, NY 10112-0002 | 2007-05-14 |
| 1962626606 | Tanya Benenson | Internal Medicine | 30 Rockefeller Plz, Rm 750s, New York, NY 10112-0002 | 2007-04-12 |
| 1508395310 | Katherine Tymeck | Registered Nurse | 30 Rockefeller Plz Rm 324e-4, New York, NY 10112-0015 | 2017-06-06 |
| 1659400562 | Wendy W. Kong | Nurse Practitioner | 30 Rockefeller Plz Rm 924e-4, New York, NY 10112-0015 | 2007-03-05 |
| 1801306865 | Ellen Kathleen Markey | Nurse Practitioner | 30 Rockefeller Plz Rm 924e-4, New York, NY 10112-0015 | 2017-10-04 |
| 1972034346 | Crossover Health Medical Group | Specialist | 30 Rockefeller Plz, 924e-4, New York, NY 10112-0015 | 2017-03-27 |
| 1609123959 | Sally Anne Justine Rexach | Nurse Practitioner | 30 Rockefeller Plz, Suite 754-s, New York, NY 10112-0015 | 2012-08-06 |
| 1407128754 | Alan Schnuer | Pharmacist | 30 Rockefeller Plz, C/o Value Drugs, New York, NY 10112-0015 | 2012-02-02 |
| 1407187917 | Medcor Inc. | Clinic/Center | 30 Rockefeller Plz, Suite 754s-9, New York, NY 10112-0015 | 2010-01-22 |
| Find all providers in zip 10112 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.