Individual provider Active NPI

Rebecca Faith Geliebter, M.D.

  • Pediatric Endocrinology Physician
  • Maywood, NJ
National Provider Identifier
1063851053
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
25MA10707700 Issued in NJ
Practice address
240 W Passaic St Ste 14
Maywood, NJ 07607-1264
Phone
(201) 903-0070
Fax
(201) 322-0287
NPI assigned
Jun 23, 2013
Last updated
Dec 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 25MA10707700 NJ Primary

Addresses

Primary practice location

240 W Passaic St Ste 14
Maywood, NJ 07607-1264

Mailing address

240 W Passaic St Ste 14
Maywood, NJ 07607-1264
Phone (201) 903-0070

Other practice location 1

185 S Orange Ave
F603
Newark, NJ 07103-2757
Phone (973) 972-6015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20190327001131 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3870833908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10707700NJMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Endocrinology PC CurrentSince Dec 9, 2019 Accepting new patients

Locations

240 W Passaic St
Ste 14
Maywood, NJ 07607
Phone (201) 903-0070

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1063851053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST STE 14",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-903-0070",
            "fax_number": "201-322-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W PASSAIC ST STE 14",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071264",
            "telephone_number": "201-903-0070",
            "fax_number": "201-322-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 S Orange Ave",
            "address_2": "F603",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071032757",
            "country_code": "US",
            "telephone_number": "973-972-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELIEBTER",
        "first_name": "REBECCA",
        "middle_name": "FAITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NJ",
            "license": "25MA10707700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.