Diane Axt Lieberman, PHD, RD ,CSR ,CDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

001407-1 Issued in NY

Practice address

505 E 70TH St
Room 245
New York, NY 10021-4872

Phone

(212) 746-1577

Fax

(212) 746-8380

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Rogosin Institute Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brooklyn, NY
  • NPI 1043790736
  NPD (past)
• The Rogosin Institute, Inc

  • Hematology & Oncology Physician
  • New York, NY
  • NPI 1154573566
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245240803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W. 95TH STREET",
            "address_2": "APT. 32E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256787",
            "telephone_number": "212-746-1577",
            "fax_number": "212-746-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 70TH ST",
            "address_2": "ROOM 245",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "212-746-1577",
            "fax_number": "212-746-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "DIANE",
        "middle_name": "AXT",
        "name_prefix": "Dr.",
        "credential": "PHD, RD ,CSR ,CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NY",
            "license": "001407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lieberman, LCSW
• Anna Lieberman
• Beth W. Lieberman, M.D.
• Bruce A Lieberman, MD
• Charlotte Annie Lieberman
• Donna E Lieberman, PHD
• Dorothy Lieberman, M.D.
• Edward Joshua Lieberman, DDS
• Evan Lieberman
• Grace Lieberman

• Renal Nutrition Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Renal Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.