Individual provider Active NPI

Rita Liebson, DPM

  • Podiatrist
  • Warren, NJ
National Provider Identifier
1275544132
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00208500 Issued in NJ
Practice address
6 Hill Hollow Rd
Warren, NJ 07059-5535
Phone
(908) 787-6607
NPI assigned
Aug 10, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00208500 NJ Primary
Podiatrist 213E00000X N004114-1 NY

Addresses

Primary practice location

6 Hill Hollow Rd
Warren, NJ 07059-5535

Mailing address

6 Hill Hollow Rd
Warren, NJ 07059-5535
Phone (908) 787-6607

Other identifiers 1

IdentifierTypeStateIssuer
5061903MedicaidNJ

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000464 NJ Practitioner - Podiatry 4486618899 Practice locations: Warren, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004114-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham D Morganoff MD PA Past Accepting new patients
Icare Internal Medicine Past Accepting new patients
Jason E Hagman DC PC PastSince Mar 1, 2007 Accepting new patients
Joseph M. Mauti, M.D., P.a. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1275544132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HILL HOLLOW RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595535",
            "telephone_number": "908-787-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HILL HOLLOW RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595535",
            "telephone_number": "908-787-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBSON",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00208500",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004114-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5061903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.