Melissa Marie Libert, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB08549000 Issued in NJ

Practice address

3 School St Ste 302
Glen Cove, NY 11542-2548

Phone

(516) 759-1234

Fax

(516) 674-9172

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1506
• Direct secure messaging: libert@pfcmd.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catherine Screnci MD PLLC

  • Pediatrics Physician
  • Glen Cove, NY
  • NPI 1124371141
  NPD (past)
• Plaza Family Care PC

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1538231964

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1033311147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 WILLOW GROVE ST",
            "address_2": "STE 401",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401868",
            "telephone_number": "908-850-7800",
            "fax_number": "908-850-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST STE 302",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422548",
            "telephone_number": "516-759-1234",
            "fax_number": "516-674-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08549000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Li
• Claire M. Li, DC
• Heather Li
• Xian Li, MD
• Katherine Lianoglou-Alpy, PA
• Maayan Estelle Lieberman, M.D.
• Stephanie Liebowitz
• Juan Lin, D.O.
• Lina Ni Optometry PLLC (Glen Cove Eye Care)
• Benjamin Liu

• Pediatrics Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.