Kevin Liebmann

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01046900 Issued in NJ

Practice address

208 Bunn Dr
Princeton, NJ 08540-2851

Phone

(609) 683-4999

NPI assigned

Jul 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.04 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

93.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Princeton Dermatology Associates PC

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1336104561
  Medicare reassignment Care Compare group NPD
• Princeton Dermatology Associates II LLC

  • Dermatology Physician
  • Princeton, NJ
  • NPI 1629946918
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1154939064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BUNN DRIVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406493",
            "telephone_number": "609-683-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BUNN DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402851",
            "telephone_number": "609-683-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMANN",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "346148",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01046900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter M Lewis, DMD
• Jason Li, DO
• Robin Li, PHD
• Michael Libertazzo, ED.D.
• Howard Lieberman, MD, FACS
• Alison Jean Liedtka, PT, DPT
• Danielle Legendre Liegl, P.T.
• Spencer Lin
• Carlee Lindsay, PA-C
• Lingraphicare America, Inc

• Nurse Practitioner in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.