PETER S. LIEBERT MD (NPI# 1508142316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508142316 |
| Entity Type | Organization |
| Organization Name | PETER S. LIEBERT MD |
| Practice Address |
222 Westchester Avenue Suite 403 White Plains NY 10604 |
| Practice Telephone | 9144283533 |
| Practice Fax Number | 9149468766 |
| Mailing Telephone | 9144283533 |
| Mailing Fax Number | 9149468766 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | DR. PETER S LIEBERT (PRESIDENT) |
| Authorized Official Telephone | 9144283533 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
093575 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA US HEALTHCARE | 4267440 | 01 | |
| OXFORD | WS245 | 01 | |
| BCBS | 52A061 | 01 | |
| NY | 00607570 | 05 |
| Street Address |
222 WESTCHESTER AVENUE SUITE 403 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093744864 | Metropolitan Urological Specialist PC | Urology | 222 Westchester Avenue, White Plains, NY 10604 | 2006-07-02 |
| 1689225971 | Bridgespan Medicine | Pediatrics | 222 Westchester Avenue, Suite 201, White Plains, NY 10604 | 2019-09-27 |
| 1861714800 | Debra A. Petrucci, M.d., P.C. | Neurological Surgery | 222 Westchester Avenue, Suite 403, White Plains, NY 10604-2906 | 2010-02-18 |
| 1518174119 | Jay David Marson | Social Worker | 222 Westchester Avenue, Suite 406, White Plains, NY 10604 | 2007-05-16 |
| 1316083058 | Carol Lynn Wurzel Weissbrot | Pediatrics | 222 Westchester Avenue, White Plains, NY 10604 | 2007-01-29 |
| 1497891139 | Westchester Park Pediatrics | Pediatrics | 222 Westchester Avenue, Suite 202, White Plains, NY 10604 | 2007-01-29 |
| 1164583647 | Nora Varsano Aharon | Internal Medicine | 222 Westchester Avenue, Suite 400, White Plains, NY 10604 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074185 | Safe Ride Dispatch LLC | Taxi | 1 New King St Suite 102, Harrison, NY 10604 | 2017-07-03 |
| 1871968131 | Karen Faeth | Registered Nurse | 1606 Old Orchard Road, White Plains, NY 10604 | 2015-12-11 |
| 1477929941 | Nancy West | Specialist | 1133 Westchester Ave Suite N-230, White Plains, NY 10604 | 2015-08-19 |
| 1003212408 | Stella Flemister | Physical Therapist | 244 Westchester Ave. #312, White Plains, NY 10604 | 2014-11-12 |
| 1851796957 | Cassandra Augustine | Registered Nurse | 777 Westchester Avenue, Suite 110, White Plains, NY 10604 | 2014-10-31 |
| 1700280153 | Belinda Nicole Johnson | Licensed Practical Nurse | 777 Westchester Ave., Maxim Healthcare, White Plains, NY 10604 | 2014-10-14 |
| 1508276858 | Greenburgh-north Castle Ufsd/reach Academy | Local Education Agency (LEA) | 45 East Gainsborg Ave, West Harrison, NY 10604 | 2014-05-07 |
| 1528314457 | Xiomara J Jimenez | Specialist | 333 Weschester Ave, White Plains, NY 10604 | 2012-07-30 |
| 1871854984 | Kathryn Alexandra Marciano | Specialist | 1133 Westchester Avenue Suite N-230, White Plains, NY 10604 | 2012-06-05 |
| 1902116221 | Maria Noelia Aguero | Speech-Language Pathologist | 333 Westchester Avenue, West Suit 202, White Plains, NY 10604 | 2010-10-20 |
| Find all providers in zip 10604 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598861247 | Peter Selig Liebert | Surgery | 222 Westchester Ave, Suite 403, White Plains, NY 10604-2906 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
| 1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
| 1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
| 1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
| 1164691457 | Oliver Hans-josef Hans-josef Muensterer | Surgery | Mfch, Munger Pavillion, Room 321, Valhalla, NY 10595 | 2008-02-21 |
| 1942355698 | Stephen Dolgin | Surgery | Lij Dept of Surgery Pediatric Surgery, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
| 1093875114 | Samuel Soffer | Surgery | Lijmc Dept of Surgery Peds Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1023182649 | Radhakrishman Satheesan | Surgery | 921 49th St, Brooklyn, NY 11219-2923 | 2006-11-17 |
| 1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1134201304 | Scott J Boley | Surgery | Div. of Pediatric Surgery, 3355 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
| City | WHITE PLAINS |
| Zip Code | 10604 |
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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.