DR. MARYANA LIEDKE DO
NPI 1386987956
Psychiatry & Neurology - Neurology in Port Jefferson Station, NY

Q: What is Maryana Liedke's NPI number?

The NPI number for Maryana Liedke is 1386987956. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Maryana Furmansky.

Q: What is Maryana Liedke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Maryana Liedke was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2013PECOS EnrolledAccepts Medicare Assignment

1010 ROUTE 112 STE 300, PORT JEFFERSON STATION, NY 11776(631) 364-9119 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2021, Nov 30, 2018 (2 updates tracked since 2018).

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About Dr. Maryana Liedke Do NPPES

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

DR. MARYANA LIEDKE DO (NPI 1386987956) is an individual neurology provider in Port Jefferson Station, New York, licensed in New York (288433) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).

NPPES Registry Identity

NPI1386987956

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARYANA LIEDKECredential: DO

Location Address1010 ROUTE 112 STE 300Port Jefferson Station, NY 11776-3386

Mailing Address1010 Route 112 Ste 300Port Jefferson Station, NY 11776-3386 · (631) 364-9119

Phone(631) 364-9119

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013

Enumeration DateApril 2, 2013

Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration

NPPES CertifiedDecember 9, 2021

✔ NPI 1386987956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 288433

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1010 ROUTE 112 STE 300, Port Jefferson Station, NY 11776

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Other Names 1

Former Name (1)Maryana Furmansky

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maryana Liedke Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274881800

PECOS Enrollment IDI20180730002270

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

236 services128 patients

Injection, magnesium sulfate, per 500 mg J3475

Magnesium sulfate injection, per 500 mg, is a medication administered to manage certain health conditions. It aids in controlling seizures in conditions like eclampsia and in managing severe asthma attacks. It's also used to prevent premature labor in pregnant women.

162 services23 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

156 services51 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

137 services46 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

134 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

112 services82 patients

Injection, ondansetron hydrochloride, per 1 mg J2405

Ondansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.

76 services11 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

54 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services21 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

16 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

KRISTIN MARIE RUIZ PA-C

Physician Assistant (Medical)

1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 364-9119

SUFFOLK BRAIN AND NERVE, PLLC

Psychiatry & Neurology (Neurology)

1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 410-9420

MEDICAL SERVICES OF NEW HYDE PARK PC

Psychiatry & Neurology (Neurology)

1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 886-4805

TRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC

Psychiatry & Neurology (Neurology)

1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 886-4985

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 Maryana Liedke's NPI number?

The NPI number for Maryana Liedke is 1386987956. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Maryana Furmansky.

Where is Maryana Liedke located?

Maryana Liedke practices at 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776. The listed phone number is (631) 364-9119.

What is Maryana Liedke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Maryana Liedke enrolled in Medicare?

Yes. Maryana Liedke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Maryana Liedke affiliated with any hospitals?

According to CMS data, Maryana Liedke is affiliated with North Shore University Hospital and John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Maryana Liedke was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.