Individual provider Active NPI

Ian Leber, MD

  • Emergency Medicine Physician
  • Lakewood, NJ
National Provider Identifier
1306865092
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA07223400 Issued in NJ
Practice address
600 River Ave
Kimball Medical Center
Lakewood, NJ 08701-5237
Phone
(732) 363-1900
NPI assigned
Jul 19, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07223400 NJ Primary

Addresses

Primary practice location

600 River Ave
Kimball Medical Center
Lakewood, NJ 08701-5237

Mailing address

PO Box 717
Livingston, NJ 07039-0717
Phone (973) 740-0607

Other practice location 1

1255 Raritan Rd
Clark, NJ 07066-1200
Phone (848) 206-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040726000774 NJ Practitioner - Emergency Medicine 4880674134 Reassigns benefits to 3 organizations
I20210120001823 NY Practitioner - Emergency Medicine 4880674134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07223400NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 1, 2025 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 19, 2023 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2020 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 19, 2023 Accepting new patients
Summit Medical Group PA CurrentSince Dec 1, 2025 Accepting new patients
Emergency Physicians of Pittsburgh, LTD Past Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine Past Accepting new patients
Emergency Medicine Association of Pittsburgh Emergency Medicine Past Accepting new patients
Emergency Medical Associates of New Jersey PA Emergency Medicine PastSince May 10, 2020 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

597 Park Ave
Ste B
Freehold, NJ 07728
Phone (732) 294-2540

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014

Interoperability endpoints

  • Direct secure messaging: ian.leber@750638968406020.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Asbury ParkAsbury Park, NJ, CCN 311840 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2023
Jul 1, 2023
Keyport Primary Care CenterKeyport, NJ, CCN 311841 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2023
Jul 1, 2023
Visiting Nurse Association of Central Jersey Community Health Center IRed Bank, NJ, CCN 311865 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2023
Jul 1, 2023
Visiting Nurse Association of Central Jersey Community Health Center IFreehold, NJ, CCN 311943 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1306865092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390717",
            "telephone_number": "973-740-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIVER AVE",
            "address_2": "KIMBALL MEDICAL CENTER",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015237",
            "telephone_number": "732-363-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Raritan Rd",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661200",
            "country_code": "US",
            "telephone_number": "848-206-0072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBER",
        "first_name": "IAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07223400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.