Individual provider Active NPI

Michael Jay Lieberman, M.D.

  • Ophthalmology Physician
  • Farmingdale, NY
National Provider Identifier
1396798476
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
124137 Issued in NY
Practice address
850 Fulton St
Farmingdale, NY 11735-3649
Phone
(516) 752-8866
Fax
(516) 752-8644
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 124137 NY Primary

Addresses

Primary practice location

850 Fulton St
Farmingdale, NY 11735-3649

Mailing address

850 Fulton St
Farmingdale, NY 11735-3649
Phone (516) 752-8866

Other identifiers 1

IdentifierTypeStateIssuer
00303159MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000386 NY Practitioner - Ophthalmology 8022206358 Practice locations: Farmingdale, NY; Plainview, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124137NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam T. Nomberg, M.D, P.C. Ophthalmology PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396798476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353649",
            "telephone_number": "516-752-8866",
            "fax_number": "516-752-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FULTON ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353649",
            "telephone_number": "516-752-8866",
            "fax_number": "516-752-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.