Individual provider Active NPI

Marshal E. Lieberfarb, MD

  • Radiation Oncology Physician
  • Plantation, FL
National Provider Identifier
1184605867
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0087541 Issued in FL
Practice address
350 NW 84TH Ave
Suite 102
Plantation, FL 33324-1817
Phone
(954) 370-7555
Fax
(954) 370-7554
NPI assigned
Nov 9, 2005
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0087541 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave
Suite 102
Plantation, FL 33324-1817

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 14

IdentifierTypeStateIssuer
10472OtherFLDIMENSION PROVIDER NUMBER
267415700MedicaidFL
325347OtherFLWELLCARE PROVIDER NUMBER
5654949OtherFLFIRST HEALTH PROVIDER #
71895OtherFLBCBS PROVIDER NUMBER
P00405311OtherFLRAILROAD MEDICARE
7202545OtherFLAETNA PROVIDER NUMBER
293997OtherFLAMERIGROUP PROVIDER NUM.
290543OtherFLAVMED PROVIDER NUMBER
53622OtherFLNHP THRU PMG PROVIDER #
QMP000003703687OtherFLMOLINA MCD
P0003155OtherFLFLORIDA HEALTHCARE PLUS
4099435OtherFLGHI PROVIDER NUMBER
QMP000003845027OtherFLMOLINA MCR

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
I20051019000323 FL Practitioner - Radiation Oncology 6103842174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of New York at Stony Brook, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

4848 Coconut Creek Pkwy
Suite 100
Coconut Creek, FL 33063-3904
Phone (954) 379-4848

4850 W Oakland Park Blvd
Suite C
Lauderdale Lakes, FL 33313-7282
Phone (954) 485-7707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087541FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Radiation Oncology CurrentSince Oct 3, 2005 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Oct 3, 2005 Accepting new patients
Edward J Kaplan, MD, PA Radiation Oncology PastSince Mar 11, 2004 Accepting new patients
Radiation Oncology Associates of Ft Lauderdale PA Radiation Oncology Past Accepting new patients
South Florida Medicine LLC Radiation Oncology PastSince Jul 1, 2013 Accepting new patients

Locations

21355 E Dixie Hwy
Ste 111
Aventura, FL 33180
Phone (305) 692-1100

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2101 Riverside Dr
#101
Coral Springs, FL 33071
Phone (954) 341-6200

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

4850 W Oakland Park Blvd
Ste C
Lauderdale Lakes, FL 33313
Phone (954) 485-7707

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

350 NW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 370-7555

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1184605867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "SUITE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-370-7555",
            "fax_number": "954-370-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERFARB",
        "first_name": "MARSHAL",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0087541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION PROVIDER NUMBER",
            "identifier": "10472",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267415700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "325347",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER #",
            "identifier": "5654949",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "71895",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405311",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7202545",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUM.",
            "identifier": "293997",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PROVIDER NUMBER",
            "identifier": "290543",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP THRU PMG PROVIDER #",
            "identifier": "53622",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MCD",
            "identifier": "QMP000003703687",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE PLUS",
            "identifier": "P0003155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "4099435",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA MCR",
            "identifier": "QMP000003845027",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.