Organization Active NPI

Frederick S Lieberman MD PC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1255508065
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD017500E Issued in PA
Legal business name
FREDERICK S LIEBERMAN MD PC
Practice address
1521 Locust St
2ND FL
Philadelphia, PA 19102-3727
Phone
(215) 732-3450
Fax
(215) 545-3360
NPI assigned
May 12, 2008
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Ms. Stephanie Lieberman
Title
Office Manager
Phone
(215) 732-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X MD017500E PA Primary

Addresses

Primary practice location

1521 Locust St
2ND FL
Philadelphia, PA 19102-3727

Mailing address

1521 Locust St
2ND FL
Philadelphia, PA 19102-3727
Phone (215) 732-3450

National Provider Directory

National Provider Directory

Locations

1521 Locust St
Fl 2
Philadelphia, PA 19102
Phone (215) 732-3450

4979 Old Street Rd
Ste A
Trevose, PA 19053
Phone (215) 732-3450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1255508065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LOCUST ST",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023727",
            "telephone_number": "215-732-3450",
            "fax_number": "215-545-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LOCUST ST",
            "address_2": "2ND FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023727",
            "telephone_number": "215-732-3450",
            "fax_number": "215-545-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK S LIEBERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-732-3450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD017500E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.