NPIMap

Individual provider Active NPI

A Jill Leibman, M.D.

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1144385006
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
146734 Issued in NY
Practice address
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone
(718) 918-3060
Fax
(718) 918-4469
NPI assigned
Dec 22, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 146734 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Mailing address

589 Ogden Ave
Teaneck, NJ 07666-2922

Other identifiers 1

IdentifierTypeStateIssuer
01450004MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151117002668 NY Practitioner - Diagnostic Radiology 6002099215 Reassigns benefits to 4 organizations
I20161122001024 NJ Practitioner - Diagnostic Radiology 6002099215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians

Practice addresses (Care Compare)

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

589 Ogden Ave
Teaneck, NJ 07666-2922
Phone (718) 223-4685

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Mount Vernon Hospital CurrentSince Feb 18, 2017 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Sep 24, 2015 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Sep 24, 2015 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 10, 2022 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Feb 18, 2017 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Aug 26, 2024 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
West Side Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

52 Main St
Bedford Hills, NY 10507

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

327 Beach 19th St
#H
Far Rockaway, NY 11691
Phone (718) 869-7000

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1144385006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 OGDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-3060",
            "fax_number": "718-918-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBMAN",
        "first_name": "A",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "146734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.