NPIMap

Individual provider Active NPI

Jeffrey A Liberman, DO

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1205836772
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206490 Issued in NY
Practice address
1338 E Ridge Rd
Rochester, NY 14621-2018
Phone
(585) 544-5368
Fax
(585) 287-5304
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 206490 NY Primary

Addresses

Primary practice location

1338 E Ridge Rd
Rochester, NY 14621-2018

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

485 Titus Ave
Ste h
Rochester, NY 14617-3535
Phone (585) 544-5368

Other identifiers 3

IdentifierTypeStateIssuer
01821498MedicaidNY
101701BJOtherNYPREFERRED CARE
P010206490OtherNYEXCELLUS BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jliberman450176@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000457 NY Practitioner - Internal Medicine 1254495765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

485 Titus Ave
H
Rochester, NY 14617-3544
Phone (585) 544-5368

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206490-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a Liberman DO PC Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients
Dangelo Medical Practice PC Internal Medicine Past Accepting new patients

Locations

485 Titus Ave
Ste H
Rochester, NY 14617
Phone (585) 338-2530

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1205836772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212018",
            "telephone_number": "585-544-5368",
            "fax_number": "585-287-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Titus Ave",
            "address_2": "Ste h",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146173535",
            "country_code": "US",
            "telephone_number": "585-544-5368",
            "fax_number": "585-278-5304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101701BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS  BC/BS",
            "identifier": "P010206490",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jliberman450176@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1338 E Ridge Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146212018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.