Individual provider Active NPI

Dawn M Liberto, CNM

  • Midwife
  • Trenton, NJ
National Provider Identifier
1205248572
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00073600 Issued in NJ
Practice address
433 Bellevue Ave FL 3
Trenton, NJ 08618-4514
Phone
(609) 394-4111
Fax
(609) 537-6798
NPI assigned
May 21, 2014
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW010342 PA
Midwife 176B00000X 25ME00073600 NJ Primary

Addresses

Primary practice location

433 Bellevue Ave FL 3
Trenton, NJ 08618-4514

Mailing address

433 Bellevue Ave FL 3
Trenton, NJ 08618-4514
Phone (609) 394-4111

Other practice location 1

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4633

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dawn.liberto.1@12833.direct.athenahealth.com Direct
Direct Messaging Address dawn.liberto.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140718001147 PA Practitioner - Certified Nurse Midwife (CNM) 9931325461 Reassigns benefits to 1 organization
I20220216000572 NJ Practitioner - Certified Nurse Midwife (CNM) 9931325461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

433 Bellevue Ave
Trenton, NJ 08618-4514
Phone (609) 394-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW010342PAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Multispecialty Group CurrentSince Mar 14, 2022 Accepting new patients
Capital Health Medical Group CurrentSince Mar 14, 2022 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince May 25, 2014 Accepting new patients
Tower Health Medical Group CurrentSince May 25, 2014 Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

433 Bellevue Ave
Trenton, NJ 08618
Phone (609) 394-4111

433 Bellevue Ave
Fl 3
Trenton, NJ 08618
Phone (609) 394-4111

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: dawn.liberto.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1205248572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BELLEVUE AVE FL 3",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184514",
            "telephone_number": "609-394-4111",
            "fax_number": "609-537-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 BELLEVUE AVE FL 3",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184514",
            "telephone_number": "609-394-4111",
            "fax_number": "609-537-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4633",
            "fax_number": "609-537-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERTO",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "PA",
            "license": "MW010342",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00073600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.liberto.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Capital Way",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn.liberto.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "433 Bellevue Ave Fl 3",
            "city": "Trenton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086184514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.