Kenneth M. Liebman, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

25MA06614000 Issued in NJ

Practice address

3100 Princeton Pike BLDG 3
Suite D
Lawrenceville, NJ 08648-2300

Phone

(844) 464-6387

Fax

(215) 239-3037

NPI assigned

Jul 16, 2006

Last updated

Feb 23, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Neurosurgery

Education

Temple University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Global Neurosciences Institute LLCGroup PAC ID 8123342474, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064
• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
• Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD
• Direct secure messaging: kenneth.liebman@gni.eclinicaldirectplus.com

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.

• Global Neurosciences Institute LLC

  • Neurological Surgery Physician
  • Chester, PA
  • NPI 1275933228

  NJ

  Medicare reassignment Care Compare group NPD
• Commonwealth Physician Network LLC

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1003238635
  Medicare reassignment NPD
• Community Hospital Group, Inc

  dba JFK MRMC Assistant Surgeons

  • Specialist
  • Edison, NJ
  • NPI 1427278258

  Neurological Surgery

  NPD (past)
• Community Hospital Group, Inc

  dba JFK Cardiology

  • Cardiovascular Disease Physician
  • Edison, NJ
  • NPI 1467670224
  NPD (past)
• Stroke & Cerebrovascular Center of New Jersey

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1831343300
  NPD (past)
• Stroke & Cerebrovascular Center of New Jersey PC

  • Neurological Surgery Physician
  • Hamilton, NJ
  • NPI 1346531530
  NPD (past)

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

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation
• Virtua Our Lady of Lourdes Hospital Inc

  dba Virtua Our Lady of Lourdes Hospital

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1235134024
  Care Compare affiliation
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1154348175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD STE 232",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE BLDG 3",
            "address_2": "SUITE D",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "KENNETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD424987",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA06614000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010465710002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7449801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew M Lester, PH.D.
• Richard Levandowski, M.D.,
• Babette Levin, LSW
• Gary Douglas Levine, MSW, LPC, LCSW
• Kimberly Anne Levitt, M.D., M.P.H.
• Lifeback LLC
• Lifecare Health and Wellness
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)

• Neurological Surgery Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.

Verify at the official NPI Registry.