Individual provider Active NPI

Jill Liebman, DO

  • Neurology Physician
  • Coral Springs, FL
National Provider Identifier
1154360659
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS8210 Issued in FL
Practice address
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone
(954) 803-9002
Fax
(954) 933-2305
NPI assigned
Jun 6, 2006
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS8210 FL Primary

Addresses

Primary practice location

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640

Mailing address

5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Phone (954) 803-9002

Other practice location 1

350 NW 84th Ave Ste 109
Plantation, FL 33324-1847
Phone (954) 424-4321

Other practice location 2

3540 N Pine Island Rd
Sunrise, FL 33351-6637
Phone (954) 341-1171

Other practice location 3

16800 NW 2nd Ave
Suite 601
North Miami Beach, FL 33169-5549
Phone (305) 652-3062

Other practice location 4

1414 SE 3rd Ave Ste 101
Fort Lauderdale, FL 33316-1910
Phone (954) 803-9002

Other practice location 5

1190 NW 95th St Ste 404
Miami, FL 33150-2067
Phone (954) 341-1171

Other practice location 6

8395 W Oakland Park Blvd Ste E-F
Sunrise, FL 33351-7301
Phone (954) 803-9002

Other identifiers 1

IdentifierTypeStateIssuer
263967000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110323000397 FL Practitioner - Neurology 3173658739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Institute, LLCGroup PAC ID 8123393881, 25 clinicians

Practice addresses (Care Compare)

8395 W Oakland Park Blvd
Suite E F
Sunrise, FL 33351-7301
Phone (954) 803-9002

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Oct 14, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 15, 2022 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Oct 14, 2020 Accepting new patients
The Neurology Institute, LLC Neurology CurrentSince Aug 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 15, 2022 Accepting new patients
Metropolitan Neurological Consultants, P.C. Neurology Past Accepting new patients
Sunrise Medical Group Inc Neurology Past Accepting new patients

Locations

5441 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 739-2221

4780 SW 64th Ave
Ste 103
Davie, FL 33314

1414 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 764-8033

1190 NW 95th St
Ste 404
Miami, FL 33150
Phone (305) 693-6902

350 NW 84th Ave
Ste 109
Plantation, FL 33324
Phone (954) 424-9444

3540 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 321-1776

8395 W Oakland Park Blvd
Ste Ef
Sunrise, FL 33351
Phone (954) 803-9002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/22170/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DECFCD

Organizations & group practices 7

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1154360659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674640",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 NW 84th Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241847",
            "country_code": "US",
            "telephone_number": "954-424-4321",
            "fax_number": "954-424-0765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3540 N Pine Island Rd",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516637",
            "country_code": "US",
            "telephone_number": "954-341-1171",
            "fax_number": "954-341-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16800 NW 2nd Ave",
            "address_2": "Suite 601",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331695549",
            "country_code": "US",
            "telephone_number": "305-652-3062",
            "fax_number": "305-653-7046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 SE 3rd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161910",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 NW 95th St Ste 404",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502067",
            "country_code": "US",
            "telephone_number": "954-341-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8395 W Oakland Park Blvd Ste E-F",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333517301",
            "country_code": "US",
            "telephone_number": "954-803-9002",
            "fax_number": "954-933-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "JILL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS8210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263967000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.