Jodi Liebman Berg, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08693300 Issued in NJ

Practice address

2006 Salem Rd
Burlington, NJ 08016-2204

Phone

(609) 877-1500

Fax

(609) 877-4262

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chop Clinical Associates, Inc.

  • Pediatrics Physician
  • Smithville, NJ
  • NPI 1669552451
  NPD (past)
• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1225032683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STOCKTON DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433940",
            "telephone_number": "267-738-1572",
            "fax_number": "267-426-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 SALEM RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162204",
            "telephone_number": "609-877-1500",
            "fax_number": "609-877-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JODI",
        "middle_name": "LIEBMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD422801",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08693300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Beattie
• Lorna Beaumont, RN
• Morgan Elizabeth Bennett, ATC
• Nancy Bennett, LPN
• Bonnie Lee Berg, COTA
• Laurel Bertonazzi, LPN
• Sabrina Bertsch
• Shannon Bertsch
• Angela C Bess, M.D.
• Best Home Care, Inc

• Pediatrics Physician in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.