Active NPI
Alex Lieberman, MD, LLC
- Internal Medicine Physician
- Egg Harbor Township, NJ
National Provider Identifier
1033515572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03306900
- Legal business name
- ALEX LIEBERMAN, MD, LLC
- Practice address
- 11 Glen Aire Dr
Egg Harbor Township, NJ 08234-7834 - Phone
- (609) 652-9933
- NPI assigned
- Nov 11, 2014
- Last updated
- Nov 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Lieberman III, MD
- Title
- Owner
- Phone
- (609) 652-9933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03306900 | NJ | Primary |
Addresses
Primary practice location
11 Glen Aire Dr
Egg Harbor Township, NJ 08234-7834
Mailing address
11 Glen Aire Dr
Egg Harbor Township, NJ 08234-7834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432695 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Galloway, NJ
- NPI 1821135674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415664000000",
"number": "1033515572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 GLEN AIRE DR",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082347834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GLEN AIRE DR",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082347834",
"telephone_number": "609-652-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX LIEBERMAN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-652-9933",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03306900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432695",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.