MARK LIEBERMAN (NPI# 1043252018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043252018 |
| Entity Type | Individual |
| Full Name | MARK LIEBERMAN |
| Credential | CRNA |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2844 |
| Mailing Address |
255 W Michigan Ave Jackson MI 49201-2218 |
| Practice Telephone | 7182838816 |
| Mailing Telephone | 8002421131 |
| Mailing Fax Number | 5177874146 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 340355 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902202138 | Mark Lieberman | Physician Assistant | 7010 Austin St, Forest Hills, NY 11375-1021 | 2014-11-16 |
| 1174534788 | Mark B Lieberman | Dentist | 11645 Wilshire Blvd, Suite 1001, Los Angeles, CA 90025-1708 | 2006-08-10 |
| 1780670588 | Mark Lieberman | Emergency Medicine | 3000 Coral Hills Dr, Coral Springs Medical Center - Ed, Coral Springs, FL 33065-4108 | 2005-09-27 |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386189736 | Jason Evans | Nurse Anesthetist, Certified Registered | 506 6th Street, Brooklyn, Ny 11215, Brooklyn, NY 11215 | 2016-12-21 |
| 1427500990 | Gloria Chan | Nurse Anesthetist, Certified Registered | 1529 78th St, Brooklyn, NY 11228-2521 | 2016-10-31 |
| 1053653816 | Jch Registered Nurse Services PC | Nurse Anesthetist, Certified Registered | 577 Prospect Ave Bsmt Suite, Brooklyn, NY 11215-6065 | 2013-03-20 |
| 1912245747 | Aminata Neneh Jalloh | Nurse Anesthetist, Certified Registered | 266 Fountain Ave, Brooklyn, NY 11208-2516 | 2013-01-29 |
| 1225281207 | Marion Constantia English-rowe | Nurse Anesthetist, Certified Registered | 1245 E 86th St, Brooklyn, NY 11236-4927 | 2008-11-04 |
| 1932329141 | Marcia Oslin Yhap-davson | Nurse Anesthetist, Certified Registered | 884 E 37th St, Brooklyn, NY 11210-1937 | 2007-04-27 |
| 1316076458 | Elizabeth E. Gallagher | Nurse Anesthetist, Certified Registered | 8 Strong Pl, Brooklyn, NY 11231-3752 | 2007-03-05 |
| 1750344529 | Jennifer Coretta Harvey | Nurse Anesthetist, Certified Registered | 577 Prospect Ave Basement Suite, Brooklyn, NY 11215-6065 | 2006-04-11 |
| 1609854801 | Galina Gurova | Nurse Anesthetist, Certified Registered | 150 55 Street, Lutheran Medical Center Dept of Anesthesiology, Brooklyn, NY 11220 | 2006-01-06 |
| 1801892575 | Pauline P Patterson | Nurse Anesthetist, Certified Registered | 155 55th St, Brooklyn, NY 11220-2507 | 2005-06-27 |
| Find all providers in BROOKLYN | ||||
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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.