DR. WILFRED LIEBERTHAL (NPI# 1972518793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972518793 |
| Entity Type | Individual |
| Full Name | DR. WILFRED LIEBERTHAL |
| Credential | M.D. |
| Practice Address |
26 Research Way East Setauket NY 11733 |
| Mailing Address |
P.o. Box 1559 Stony Brook NY 11790 |
| Practice Telephone | 6314440580 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
236326 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02005416 | 05 | |
| NY | EMPIRE BC.BS | 1807U3 | 01 |
| NY | AETNA | 5940445 | 01 |
| Street Address |
26 RESEARCH WAY |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953462 | Ibrahim O Almasry | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3453 | 2005-09-26 |
| 1689110835 | Elissa Feldman | Nutritionist | 26 Research Way, East Setauket, NY 11733-3526 | 2017-01-12 |
| 1073939625 | Fnu Zarlasht | Internal Medicine | 26 Research Way, East Setauket, NY 11733-9260 | 2014-03-06 |
| 1669756193 | Sahar Ahmad | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2011-10-03 |
| 1487957338 | Joanne E Arnold | Nurse Practitioner | 26 Research Way, East Setauket, NY 11733-3526 | 2010-12-15 |
| 1720395387 | Sangeetha Seshadri | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2010-09-02 |
| 1972829000 | Svetlana Katsnelson | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2010-04-14 |
| 1780915447 | Apostolos Kontzias | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2010-01-20 |
| 1386886042 | Ayse Bag Ozbek | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2009-03-27 |
| 1225276488 | Mohamed Mohsen Mansour | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497086235 | Island Nephrology PC | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2010-01-19 |
| 1619139094 | Sandeep Mallipattu | Internal Medicine | 26 Research Way, Stony Brook Internists, Ufpc, East Setauket, NY 11733 | 2008-06-27 |
| 1497950133 | Mersema Tesfaye Abate | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2007-06-20 |
| 1942212774 | Ashfaq Swapan Hussain | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2006-08-12 |
| 1699790816 | Heesuck Suh | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2006-07-12 |
| 1174548358 | Edward Nord | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2006-07-12 |
| 1730104787 | Nand Wadhwa | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2006-07-12 |
| 1659306595 | Richard Barnett | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2006-07-11 |
| 1124052774 | Leonard Arbeit | Internal Medicine | 26 Research Way, East Setauket, NY 11733 | 2006-07-10 |
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| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.