Active NPI
Juliane Liberus, PA-C
- Medical Physician Assistant
- Somerville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA4475
- Practice address
- 337 Somerville Ave
Somerville, MA 02143 - Phone
- (617) 665-3370
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA4475 | MA | Primary |
Addresses
Primary practice location
337 Somerville Ave
Somerville, MA 02143
Mailing address
Cambridge Health Alliance
26 Central St
Somerville, MA 02143
Phone (617) 665-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
391 Broadway
Suite 204
Everett, MA 02149-3471
Phone (617) 389-0045
Hospital & facility affiliations
- Cambridge Health Alliance
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4475 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Urgent Care Professionals PC | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Patriot Urgent Care Professionals PC | Current | Accepting new patients |
Locations
154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161
391 Broadway
Ste 204
Everett, MA 02149
Phone (617) 387-0473
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
391 Broadway
Everett, MA 02149
Phone (617) 387-0473
26 Central St
Somerville, MA 02143
Phone (617) 591-6033
337 Somerville Ave
Somerville, MA 02143
Phone (617) 627-9040
1030 Main St
Waltham, MA 02451
Phone (781) 894-6900
Interoperability endpoints
- jliberus29325@direct.challiance.masshiway.net
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Urgent Care Clinic/Center
- Waltham, MA
- NPI 1417205105
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Urgent Care Clinic/Center
- Boston, MA
- NPI 1124713383
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1245123587
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1033468467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAMBRIDGE HEALTH ALLIANCE",
"address_2": "26 CENTRAL ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02143",
"telephone_number": "617-665-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 SOMERVILLE AVE",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02143",
"telephone_number": "617-665-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERUS",
"first_name": "JULIANE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA4475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
- 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.