Individual provider Active NPI

Benjamin Liberatore, MD

  • Ophthalmology Physician
  • Dobbs Ferry, NY
National Provider Identifier
1184784191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
133924 Issued in NY
Practice address
18 Ashford Ave
Suite 2M
Dobbs Ferry, NY 10522-1823
Phone
(914) 693-8228
Fax
(914) 693-8230
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 133924 NY Primary

Addresses

Primary practice location

18 Ashford Ave
Suite 2M
Dobbs Ferry, NY 10522-1823

Mailing address

18 Ashford Ave
Suite 2M
Dobbs Ferry, NY 10522-1823
Phone (914) 693-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070510000052 NY Practitioner - Ophthalmology 5092811984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicholas Donas, M.D., P.L.L.C.Group PAC ID 2264536739, 2 clinicians

Practice addresses (Care Compare)

18 Ashford Ave
2M
Dobbs Ferry, NY 10522-1800
Phone (914) 693-8228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133924NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Donas, M.D., P.L.L.C. Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients

Locations

18 Ashford Ave
Ste 2M
Dobbs Ferry, NY 10522
Phone (914) 693-8228

Interoperability endpoints

  • Direct secure messaging: bliberatore@donas.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184784191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ASHFORD AVE",
            "address_2": "SUITE 2M",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221823",
            "telephone_number": "914-693-8228",
            "fax_number": "914-693-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ASHFORD AVE",
            "address_2": "SUITE 2M",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221823",
            "telephone_number": "914-693-8228",
            "fax_number": "914-693-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERATORE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "133924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.