PETER B. LIEBERT, M.D., P.C. (NPI# 1902113905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902113905 |
| Entity Type | Organization |
| Organization Name | PETER B. LIEBERT, M.D., P.C. |
| Practice Address |
1123 Park Ave New York NY 10128-1241 |
| Practice Telephone | 2123698280 |
| Practice Fax Number | 9174928129 |
| Mailing Telephone | 2123698280 |
| Mailing Fax Number | 9174928129 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | PETER B. LIEBERT (PRESIDENT) |
| Authorized Official Telephone | 2123698280 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
091245 | NY | Ambulatory Health Care Facilities |
| Street Address |
1123 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427034453 | Richard Friedman | Social Worker | 1123 Park Ave, Suite 1-d, New York, NY 10128-1241 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730704347 | Prestocorp | Clinic/Center | 315 W 36th St Fl 6, New York, NY 10018-6532 | 2020-06-09 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1760907794 | Andrew S. Gardner, M.d., P.C. | Clinic/Center | 345 E 37th St Ste 40g, New York, NY 10016-3256 | 2017-08-10 |
| 1558615955 | Enrique Hernandez Md Cardiac & Vascular Services Pllc | Clinic/Center | 665 W 182nd St, New York, NY 10033-3805 | 2012-11-07 |
| 1235427022 | Mary Ruth Buchness Md Dermatologist PC | Clinic/Center | 560 Broadway Rm 406, New York, NY 10012-3946 | 2011-07-14 |
| 1700173283 | Ns Medical, Pllc | Clinic/Center | 73 Spring St Rm 601, New York, NY 10012-5802 | 2011-07-05 |
| 1124314273 | Oasis Integrated Medical Health, PC | Clinic/Center | 139 Manhattan, New York, NY 10025 | 2011-06-27 |
| 1225324015 | Sandy Cheung, Do, Pllc | Clinic/Center | 18 East Broadway, Suite 503, New York, NY 10002 | 2011-06-21 |
| 1568628154 | Madison Pediatrics P.C. | Clinic/Center | 221 W. 138th St, New York, NY 10030-2102 | 2008-08-02 |
| Find all providers in NEW YORK | ||||
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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.