Jeffrey a Liberman DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

206490-1 Issued in NY

Legal business name

JEFFREY A LIBERMAN DO PC

Practice address

485 Titus Ave Ste H
Rochester, NY 14617-3544

Phone

(585) 544-5368

Fax

(585) 287-5304

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Housel

Title

Billing Manager

Phone

(585) 544-5368

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Liberman, DO

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1205836772
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1003952011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE STE H",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173544",
            "telephone_number": "585-544-5368",
            "fax_number": "585-287-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TITUS AVE STE H",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173544",
            "telephone_number": "585-544-5368",
            "fax_number": "585-287-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A LIBERMAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "HOUSEL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "585-544-5368",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206490-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P010206490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101701BJ",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Family Medicine
• Elizabeth M. Jefferson, P.A.
• Maureen Amie Jefferson, LICENSED PRACTICAL N
• Shawnnel Jewel Jefferson, LPN
• Taimka Jefferson, LPN
• Jeffrey C. Leathersich PA, PLLC
• Jeffrey I Goldberg DDS PLLC
• Renee Jeffrey, LICENSED PRACTICAL N
• Patricia Jeffries
• Thelma Marie Jeffries, LPN

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.