Active NPI
Marshal E. Lieberfarb, MD
- Radiation Oncology Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME0087541
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10472 | Other | FL | DIMENSION PROVIDER NUMBER |
| 267415700 | Medicaid | FL | |
| 325347 | Other | FL | WELLCARE PROVIDER NUMBER |
| 5654949 | Other | FL | FIRST HEALTH PROVIDER # |
| 71895 | Other | FL | BCBS PROVIDER NUMBER |
| P00405311 | Other | FL | RAILROAD MEDICARE |
| 7202545 | Other | FL | AETNA PROVIDER NUMBER |
| 293997 | Other | FL | AMERIGROUP PROVIDER NUM. |
| 290543 | Other | FL | AVMED PROVIDER NUMBER |
| 53622 | Other | FL | NHP THRU PMG PROVIDER # |
| QMP000003703687 | Other | FL | MOLINA MCD |
| P0003155 | Other | FL | FLORIDA HEALTHCARE PLUS |
| 4099435 | Other | FL | GHI PROVIDER NUMBER |
| QMP000003845027 | Other | FL | MOLINA 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0087541 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Radiation Oncology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Edward J Kaplan, MD, PA | Radiation Oncology | Past | Accepting new patients |
| Radiation Oncology Associates of Ft Lauderdale PA | Radiation Oncology | Past | Accepting new patients |
| South Florida Medicine LLC | Radiation Oncology | Past | 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.
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- NPI 1649093709
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- Radiation Oncology Physician
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- NPI 1083790034
-
- Specialist
- Fort Lauderdale, FL
- NPI 1447286745
Radiation Oncology
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- Radiation Oncology Physician
- Wellington, FL
- NPI 1861624801
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
- Jidong Li, A.P.
- Pei-Fen Li, MFT
- Liberating Love Co. (Liberating Love Homecare)
- Liberty Labs LLC
- Lice Source Services, Inc. (South Florida Family Health & Research Centers)
- Drew Evan Lieberman, MD
- Catherine Liebman
- Erik Davidson Lieux
- Life Solutions Psychological Services, P.a.
- Life Spring Pediatrics, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.