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LIEZL VILLAVERDE, MD PC
NPI 1093234858
Pediatrics in Staten Island, NY

Active since September 13, 2017
105 BYRNE AVE, STATEN ISLAND, NY 10314(718) 698-7220(718) 698-2004 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liezl Villaverde, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIEZL VILLAVERDE, MD PC (NPI 1093234858) is a healthcare organization registered as a pediatrics in Staten Island, New York and active in the NPI registry since September 2017. The organization lists Liezl Villaverde, President, as its authorized official.

NPPES Registry Identity

NPI1093234858
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIEZL VILLAVERDE, MD PC
Location Address105 BYRNE AVEStaten Island, NY 10314
Mailing Address105 Byrne AveStaten Island, NY 10314 · (718) 689-7220 · Fax (718) 698-2004
Phone(718) 698-7220
Fax(718) 698-2004
Organization SubpartYes
Authorized OfficialLiezl VillaverdePresident · (718) 698-7220
Enumeration DateSeptember 13, 2017
✔ NPI 1093234858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 210729
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
105 BYRNE AVE, Staten Island, NY 10314
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0135489

Liezl Villaverde MD PC · Staten Island, NY
Expired · Aug 10, 2026
CLIA Number33D0135489
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorLeizl Villaverde
Laboratory Phone(718) 698-7220
Laboratory LocationLiezl Villaverde MD PC105 Byrne Avenue, Staten Island, NY 10314
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OUSIA PSYCHOLOGICAL SOLUTIONS, LLC
Psychologist (Clinical)
105 BYRNE AVE
STATEN ISLAND, NY 10314
Richmond County (201) 855-3624
LIEZL R VILLAVERDE MD
Pediatrics
105 BYRNE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 698-7220
OUSIA PSYCHOLOGICAL GROUP
Psychologist (Clinical)
105 BYRNE AVE
STATEN ISLAND, NY 10314
Richmond County (201) 855-3624
DR. ISAURA DE LA CARIDAD GONZALEZ PSY. D.
Psychologist (Clinical)
105 BYRNE AVE, BASEMENT SUITE
STATEN ISLAND, NY 10314
Richmond County (718) 982-0231
HUDSON PSYCHOLOGICAL SERVICES LLC
Psychologist (Clinical)
105 BYRNE AVE
STATEN ISLAND, NY 10314
Richmond County (718) 982-0231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liezl Villaverde, MD PC's NPI number?

The NPI number for Liezl Villaverde, MD PC is 1093234858. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is Liezl Villaverde, MD PC located?

Liezl Villaverde, MD PC is located at 105 Byrne Ave, Staten Island, NY 10314. The listed phone number is (718) 698-7220.

What is Liezl Villaverde, MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Liezl Villaverde, MD PC was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.