Active NPI
Rita Liebson, DPM
- Podiatrist
- Warren, NJ
National Provider Identifier
1275544132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00208500
- Practice address
- 6 Hill Hollow Rd
Warren, NJ 07059-5535 - Phone
- (908) 787-6607
- NPI assigned
- Aug 10, 2006
- Last updated
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5061903 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116000464 | NJ | Practitioner - Podiatry | 4486618899 | Practice locations: Warren, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004114-1 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abraham D Morganoff MD PA | Past | Accepting new patients | |
| Icare Internal Medicine | Past | Accepting new patients | |
| Jason E Hagman DC PC | Past | 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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Warren, NJ
- NPI 1316237779
-
- Internal Medicine Physician
- Springfield, NJ
- NPI 1497198667
-
- Chiropractor
- Springfield, NJ
- NPI 1861686222
-
- Internal Medicine Physician
- Union, NJ
- NPI 1952527491
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.