DR. JEREMY MICHAEL LIFF (NPI# 1659638708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659638708 |
Entity Type | Individual |
Full Name | DR. JEREMY MICHAEL LIFF |
Credential | M.D. |
Practice Address |
2200 Northern Blvd Suite 207 Greenvale NY 11548 |
Mailing Address |
43 Westminster Ave Bergenfield NJ 07621-3913 |
Practice Telephone | 7186301270 |
Mailing Telephone | 2013871957 |
Enumeration Date | 2012-04-13 |
Last Update Date | 2018-08-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 25MA09113800 | NJ | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 259539 | NY | Allopathic & Osteopathic Physicians |
N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
25MA09113800 | NJ | Allopathic & Osteopathic Physicians |
Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
259539-1 | NY | Allopathic & Osteopathic Physicians |
Street Address |
2200 NORTHERN BLVD SUITE 207 |
City | GREENVALE |
State | NY |
Zip Code | 11548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750359444 | John A. Venditto | Internal Medicine | 2200 Northern Blvd, Suite 132, Greenvale, NY 11548-1220 | 2006-03-09 |
1447887039 | Nicholas Gee Tong | Student in an Organized Health Care Education/Training Program | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2020-03-24 |
1346705043 | Christine Persaud | Nurse Practitioner | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2019-02-06 |
1982172490 | Jennifer Lopiano | Social Worker | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2018-11-02 |
1619442381 | Jillian Danzi | Nurse Practitioner | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2018-10-09 |
1942709043 | Hilary Anne Greenblatt | Nurse Practitioner | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2018-02-05 |
1972018166 | Kaitlyn Mary French | Registered Nurse | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2017-12-10 |
1154848026 | Keri Lynn Messina | Nurse Practitioner | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2017-08-23 |
1811432982 | Ann Way | Nurse Practitioner | 2200 Northern Blvd, The Cancer Institute, Greenvale, NY 11548-1219 | 2016-12-28 |
1760931349 | Sf Nassau Asc LLC | Clinic/Center | 2200 Northern Blvd, Greenvale, NY 11548-1219 | 2016-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
1164806535 | Catheryne Leon | Registered Nurse | 2200 Northern Blvd Ste 133, Greenvale, NY 11548 | 2015-07-16 |
1871888503 | George Cheriyan | Neuromusculoskeletal Medicine & OMM | 500 Northern Boulevard, Greenvale, NY 11548 | 2011-06-10 |
1144414079 | Suzy Young Choi | Registered Nurse | 12 Wellington Road, Greenvale, NY 11548 | 2007-09-04 |
1790983450 | Aleksander Shalshin | Internal Medicine | 9 Cedar Street, Greenvale, NY 11548 | 2007-07-04 |
1609394022 | Gabriella Paiotti | Speech-Language Pathologist | 720 Northern Boulevard, Brookville, NY 11548 | 2017-09-06 |
1063937142 | City Medical of Upper East Side, Pllc | Clinic/Center | 44 Glen Cove Rd, Greenvale, NY 11548-1003 | 2017-08-09 |
1316041346 | Lawrence Alan Popkin | Dentist | 73 Glen Cove Rd, Greenvale, NY 11548-1007 | 2006-09-11 |
1760687800 | Shannon Elizabeth Cole | Dentist | 73 Glen Cove Rd, Greenvale, NY 11548-1007 | 2007-06-19 |
1376694729 | Donald Jay Binderow | Dentist | 73 Glen Cove Rd, Greenvale, NY 11548-1007 | 2007-01-14 |
Find all providers in zip 11548 |
Taxonomy Code | 2084V0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Vascular Neurology |
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861812083 | Weijun Jin | Psychiatry & Neurology | 948 48th St # R-232, Brooklyn, NY 11219-2918 | 2014-04-28 |
1174899504 | Amit Kandel | Psychiatry & Neurology | 100 High St # E2, Department of Neurology, Buffalo, NY 14203-1126 | 2012-03-29 |
1194036996 | Mackenzie Paige Lerario | Psychiatry & Neurology | 525 East 68th Street, F-610, New York, NY 10065 | 2010-06-25 |
1518133750 | Sarah Mintu Cherian | Psychiatry & Neurology | 200 Old Country Rd Ste 370, Mineola, NY 11501-4264 | 2008-05-07 |
1225233141 | David T Parrella | Psychiatry & Neurology | 211 61 Street, 1st Floor, Brooklyn, NY 11220 | 2007-06-20 |
1760549075 | Antenor Pierre Vilceus | Psychiatry & Neurology | 550 W Merrick Rd Ste 4, Valley Stream, NY 11580-5101 | 2007-01-03 |
1659437473 | Steven Henry Rudolph | Psychiatry & Neurology | 3131 Kings Hwy Ste 2-06, Brooklyn, NY 11234-2644 | 2006-12-28 |
1871555797 | Elizabeth J Wirkowski | Psychiatry & Neurology | New York Spine & Brain Surgery Hsc T12 Rm 080, Stony Brook, NY 11794-4235 | 2006-04-05 |
1003295163 | Alison Caruana | Psychiatry & Neurology | 181 Bellemeade Rd, East Setauket, NY 11733-3495 | 2015-05-22 |
1033505102 | Kamil Stefanowski | Psychiatry & Neurology | 101 Nicolls Rd, Stony Brook, NY 11794-0001 | 2015-04-15 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JEREMY MICHAEL LIFF.
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.