Organization Active NPI

M Leibman OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Teaneck, NJ
National Provider Identifier
1144406232
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA60838 Issued in NJ
Legal business name
M LEIBMAN OBGYN LLC
Practice address
100 State St
Suite 1a
Teaneck, NJ 07666-5200
Phone
(201) 837-2100
Fax
(201) 837-2188
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Michael Roy Leibman, M.D.
Title
Owner
Phone
(201) 837-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MA60838 NJ Primary

Addresses

Primary practice location

100 State St
Suite 1a
Teaneck, NJ 07666-5200

Mailing address

100 State St
Suite 1a
Teaneck, NJ 07666-5200
Phone (201) 837-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1144406232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ST",
            "address_2": "SUITE 1A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665200",
            "telephone_number": "201-837-2100",
            "fax_number": "201-837-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STATE ST",
            "address_2": "SUITE 1A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665200",
            "telephone_number": "201-837-2100",
            "fax_number": "201-837-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LEIBMAN OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "LEIBMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-837-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA60838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.