Long Island Primary Medical Care/Dba Village Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS

Practice address

975 Franklin Ave
Suite 101
Garden City, NY 11530-2911

Phone

(516) 248-8334

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey W. Lieberman, MDNPI 1508869207

Title

Physician

Phone

(516) 248-8334

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Wayne Lieberman, MD

  • Pediatrics Physician
  • Garden City, NY
  • NPI 1508869207
  NPD (past) Authorized official
• Douglas Andrew Dougherty, DO

  • Pediatrics Physician
  • Garden City, NY
  • NPI 1962406538
  NPD (past)
• Deborah Marciano, DO

  • Pediatrics Physician
  • Garden City, NY
  • NPI 1831193564
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316992886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 FRANKLIN AVENUE,SUITE 101",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302911",
            "telephone_number": "516-248-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-248-8334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Kidney Care PC
• Long Island Mohs Surgery PC
• Long Island Pediatrics of Garden City
• Long Island Plastic Surgical Group, PC
• Long Island Primary Medical Care PC (Garden City Primary Medical Care)
• Long Island Professional Medical Services PC
• Long Island Psychological Services Company (The Center For Psychotherapy)
• Long Island Psychological Services PLLC (Center For Psychotherapy)
• Long Island TMS Therapy Inc
• Long Island Vascular & Surgical, PC

• Pediatric Adolescent Medicine Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.