Individual provider Active NPI

Aleksandra Liberman, M.D.

  • Internal Medicine Physician
  • Hampton Bays, NY
National Provider Identifier
1003818931
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210674 Issued in NY
Practice address
182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345
Phone
(631) 723-0022
Fax
(631) 723-3304
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 210674 NY
Internal Medicine Physician 207R00000X 210674 NY Primary

Addresses

Primary practice location

182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345

Mailing address

182 W Montauk Hwy
Suite H
Hampton Bays, NY 11946-2345
Phone (631) 723-0022

Other identifiers 1

IdentifierTypeStateIssuer
01919488MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1003818931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345",
            "telephone_number": "631-723-0022",
            "fax_number": "631-723-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W MONTAUK HWY",
            "address_2": "SUITE H",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462345",
            "telephone_number": "631-723-0022",
            "fax_number": "631-723-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "ALEKSANDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NY",
            "license": "210674",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01919488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.