IRA LIEBROSS, MD (NPI# 1992045157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992045157 |
| Entity Type | Organization |
| Organization Name | IRA LIEBROSS, MD |
| Other Organization Name | IRA LIEBROSS, M.D. |
| Practice Address |
32 Church St Flemington NJ 08822-1786 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9087820722 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA064058 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| IRA LIEBROSS, M.D. | Doing Business As Name - Organization |
| Street Address |
32 CHURCH ST |
| City | FLEMINGTON |
| State | NJ |
| Zip Code | 08822-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359713 | Ira Liebross | Family Medicine | 32 Church St, Flemington, NJ 08822-1504 | 2005-07-11 |
| 1760845614 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Church St, Flemington, NJ 08822-1786 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674470 | Brooke Rhinehart | Counselor | 84 Nj-31, Flemington, NJ 08822 | 2020-09-16 |
| 1639659311 | Garden State Aac Specialists LLC | Audiologist | 70 Church Street, Suite 119, Flemington, NJ 08822 | 2018-08-21 |
| 1669961413 | Qi Acupucnture Center PC | Acupuncturist | 300 Old York Road, Flemignton, NJ 08822 | 2018-05-08 |
| 1215456983 | Amanda Jo Henning | Family Medicine | 1100 Westcott Dr, Flemington, NJ 08822 | 2017-09-14 |
| 1134640741 | Derek James Wilson | Pharmacist | 2a Walter E Foran Blvd, Flemington, NJ 08822 | 2017-07-05 |
| 1316479611 | Katie Hutzayluk | Occupational Therapist | 194 N Rt 31, Kessler Rehabilitation Center, Flemington, NJ 08822 | 2017-03-28 |
| 1255884417 | Advanced Heart and Vascular Institute of Hunterdon LLC | Internal Medicine | 14 Alexander Drive, Flemington, NJ 08822 | 2016-07-25 |
| 1689031874 | Costco Wholesale Corporation | Pharmacy | 2a Walter E. Foran Blvd N., Flemington, NJ 08822 | 2016-01-20 |
| 1841657038 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2a Walter E. Foran Boulevard North, Flemington, NJ 08822 | 2016-01-20 |
| 1336524917 | Flemington Adult Day Care Center | Clinic/Center | 3 Walter E Foran Blvd, Flemington, NJ 08822 | 2015-07-24 |
| Find all providers in zip 08822 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023159209 | Hunterdon Family Physicians Inc. | Non-Pharmacy Dispensing Site | 105 State Route 31, Suite 300, Flemington, NJ 08822-5772 | 2007-02-09 |
| 1700953056 | Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Non-Pharmacy Dispensing Site | 349 Rt 31 South, Countryside Plaza Building B Unit 503, Flemington, NJ 08822 | 2006-11-30 |
| 1609129329 | Hunterdon Family Practice & Obstetrics | Non-Pharmacy Dispensing Site | 1100 Westcott Drive, 101, Flemington, NJ 08822 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
| City | FLEMINGTON |
| Zip Code | 08822 |
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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.