NPIMap

Individual provider Active NPI

Daniel J Lieber, M.D.

  • Hematology & Oncology Physician
  • North Conway, NH
National Provider Identifier
1356454623
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G36051 Issued in CA
Practice address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone
(603) 356-4904
NPI assigned
Aug 17, 2006
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25248 NH
Hematology & Oncology Physician 207RH0003X MD27730 ME
Hematology & Oncology Physician 207RH0003X G36051 CA Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860-7101

Mailing address

2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2102
Phone (310) 582-7900

Other practice location 1

2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2102
Phone (310) 582-7900

Other identifiers 3

IdentifierTypeStateIssuer
G36051OtherCAMEDICAL LICENSE
W15185OtherCAMEDICARE PTAN - FACILITY
W15185AOtherCAMEDICARE PTAN - FACILITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240304000846 NH Practitioner - Hematology/OncologyPractitioner - Medical Oncology 2163616921 Reassigns benefits to 2 organizations
I20240315002302 ME Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2163616921 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rumford HospitalGroup PAC ID 3870583511, 37 clinicians

Practice addresses (Care Compare)

420 Franklin St
Rumford, ME 04276-2104
Phone (207) 369-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36051CAMDDentist
G36051CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 12, 2024 Accepting new patients
Bridgton Hospital CurrentSince Jul 11, 2025 Accepting new patients
Rumford Hospital CurrentSince Jul 24, 2025 Accepting new patients
Bridgton Hospital CurrentSince Jul 11, 2025 Accepting new patients
Memorial Hospital Current Accepting new patients
Mainehealth CurrentSince Feb 12, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Memorial Hospital CurrentSince Jan 15, 2024 Accepting new patients
Rumford Hospital CurrentSince Jul 24, 2025 Accepting new patients
Memorial Hospital Hematology & Oncology CurrentSince Jan 15, 2024 Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: dlieber200430@direct.cshs.org
  • Direct secure messaging: dlieber643848@direct.mmc.mainehealth.org

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.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1356454623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 560W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-582-7900",
            "fax_number": "310-582-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-4904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Santa Monica Blvd",
            "address_2": "Suite 560W",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042102",
            "country_code": "US",
            "telephone_number": "310-582-7900",
            "fax_number": "310-582-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "25248",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "MD27730",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G36051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G36051",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - FACILITY",
            "identifier": "W15185",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - FACILITY",
            "identifier": "W15185A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.