JOHANNA OMARK LIEBERMAN (NPI# 1972898203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972898203 |
| Entity Type | Individual |
| Full Name | JOHANNA OMARK LIEBERMAN |
| Other Name | JOHANNA MARIE OMARK |
| Credential | R.D. |
| Practice Address |
3415 Bainbridge Ave Bronx NY 10467-2403 |
| Practice Telephone | 7187412396 |
| Practice Fax Number | 7189206506 |
| Mailing Telephone | 7187412396 |
| Mailing Fax Number | 7189206506 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| Street Address |
3415 BAINBRIDGE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783500 | Hiren V. Muzumdar | Pediatrics | 3415 Bainbridge Ave, Pediatric Respiratory and Sleep Medicine, Bronx, NY 10467-2403 | 2006-01-04 |
| 1568076743 | Aleksandr Zavorotynskiy | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-09-03 |
| 1295347581 | Porsha Paul | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-08-19 |
| 1659995074 | Birender P Singh | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-06-01 |
| 1144841834 | Andrecia Spaulding | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-05-04 |
| 1700415312 | Pauline Elizabeth Clarke | Nurse Practitioner | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-04-06 |
| 1104485739 | Yuping Xie | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-07 |
| 1942868898 | Tara Carolina Foisset | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-04 |
| 1164985164 | Joseph Chapman | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-04-08 |
| 1023589918 | Basirat Shoberu | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255995247 | Tonia Afroozeh Kazerani | Dietitian, Registered | 2015 Grand Concourse, Bronx, NY 10453-4303 | 2019-04-25 |
| 1801091533 | Riverdale Medicine,llp | Dietitian, Registered | 3736 Henry Hudson Pkwy, Bronx, NY 10463-1502 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308276 | Jennifer Nicole Arnette | Dietitian, Registered | 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 | 2020-08-26 |
| 1487200358 | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, LLC | Dietitian, Registered | 4867 College St, Ashville, NY 14710-9603 | 2019-08-15 |
| 1093219586 | Nutrition Link Services, LLC | Dietitian, Registered | 50 Jeanne Dr, Newburgh, NY 12550-1701 | 2018-03-20 |
| 1275037749 | Jo Ann Brown | Dietitian, Registered | 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 | 2018-03-20 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1770994741 | Juliana Martinez | Dietitian, Registered | 430 West 34th St, Apt. 3k, New York, NY 10001-2310 | 2014-05-13 |
| 1912338120 | Kelly Elaine Gumpel | Dietitian, Registered | 60 Paulding Ave, Tarrytown, NY 10591-5713 | 2013-12-13 |
| 1467898528 | Ilona Ginevic | Dietitian, Registered | One Gustave L. Levy Place, Box 1497, New York, NY 10029 | 2013-05-16 |
| 1114286887 | Ilene Frischer | Dietitian, Registered | 560 Northern Blvd Suite207, Great Neck, NY 11021 | 2012-05-15 |
| 1033492582 | His Rhema Nutrition Services, LLC | Dietitian, Registered | 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 | 2011-09-21 |
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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.