George Nicholas Liberis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

179480 Issued in NY

Practice address

180 Phillips Hill Rd
Suite 2B
New City, NY 10956-4132

Phone

(845) 354-8304

Fax

(845) 354-8308

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bon Secours Charity Health System Medical Group, P.C.

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1487694345

  Surgery

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1326061045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PHILLIPS HILL RD",
            "address_2": "SUITE 2B",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564132",
            "telephone_number": "845-354-8304",
            "fax_number": "845-354-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PHILLIPS HILL RD",
            "address_2": "SUITE 2B",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564132",
            "telephone_number": "845-354-8304",
            "fax_number": "845-354-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERIS",
        "first_name": "GEORGE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "179480",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "179480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Levine, RPH
• Bruce Levitt, DO
• Nechoma Levovitz, MA
• Rachel Levy
• Yolette Levy, LCSW
• Melissa A Lieber, MPS
• Bobbi Lieberman, MACCC
• Life Changes Unlimited Corp.
• Lifestyle Reconstruction Weight Control Center
• Ricardo Lima

• Surgery Physician in New City, NY
• Providers in New City, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.

Verify at the official NPI Registry.