Jay M Lieberman, M.D.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

G58629 Issued in CA

Practice address

2685 Elm Ave
Long Beach, CA 90806-1605

Phone

(562) 933-8750

Fax

(562) 997-9634

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kids Infectious Disease, Inc.

  • Pediatric Infectious Diseases Physician
  • Long Beach, CA
  • NPI 1881705911
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164533279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061605",
            "telephone_number": "562-933-8750",
            "fax_number": "562-997-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 ELM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061605",
            "telephone_number": "562-933-8750",
            "fax_number": "562-997-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "JAY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G58629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ej Liao, LMFT, ATR
• Allison Liaw
• Glenn Francis Libby
• Alan Libus, RADT
• Kimberly Ashley Licona
• Kiem Dian Liem, M.D.
• Ashlei M Lien
• Heather Marie Lien, P.T.
• Michael Edmond Lieppman, M.D.
• Lieu Kim Nguyen DDS Incorp

• Pediatric Infectious Diseases Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Infectious Diseases Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.