Active NPI
Jason Evan Liebowitz, M.D.
- Rheumatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 319166
- Practice address
- 161 Fort Washington Ave
New York, NY 10032-3729 - Phone
- (212) 305-4308
- NPI assigned
- Dec 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D81746 | MD | |
| Rheumatology Physician | 207RR0500X | 25MA10553700 | NJ | |
| Hospitalist Physician | 208M00000X | MD464630 | PA | |
| Rheumatology Physician | 207RR0500X | 319166 | NY | Primary |
Addresses
Primary practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
630 West 168TH Box 4
New York, NY 10032-4112
Other practice location 1
2301 E Evesham Rd
Bldg 800, Suite 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005
Other practice location 2
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6562
Other practice location 3
4940 Eastern Ave
Randy Barker Medical Group, 301 Building
Baltimore, MD 21224-2735
Phone (410) 550-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Johns Hopkins University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D81746 | MD | MD | Internal Medicine Physician |
| 25MA10553700 | NJ | MD | Rheumatology Physician |
| 319166 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Trustees of Columbia University in the Department of Otolaryngology | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- Specialist
- New York, NY
- NPI 1801074315
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1255600417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WEST 168TH BOX 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-305-4308"
}
],
"practiceLocations": [
{
"address_1": "2301 E Evesham Rd",
"address_2": "Bldg 800, Suite 115",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080434509",
"country_code": "US",
"telephone_number": "856-424-5005",
"fax_number": "856-424-4716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 Holme Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191522007",
"country_code": "US",
"telephone_number": "215-335-6562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4940 Eastern Ave",
"address_2": "Randy Barker Medical Group, 301 Building",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212242735",
"country_code": "US",
"telephone_number": "410-550-3350",
"fax_number": "410-550-1094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBOWITZ",
"first_name": "JASON",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D81746",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA10553700",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD464630",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "319166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.