Kate Julia Lieberman, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012442 Issued in NY

Practice address

106 Liberty St BSMT
Medhattan Immediate Care
New York, NY 10006-1016

Phone

(646) 461-2544

Fax

(646) 461-2542

NPI assigned

Jun 26, 2008

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kate.lieberman.1@25843.direct.athenahealth.com
• Direct secure messaging: klieberman120489@nyumc.direct-ci.com

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.

• Bimc Faculty Practice

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1538351572

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1407018013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 29TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015105",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LIBERTY ST BSMT",
            "address_2": "MEDHATTAN IMMEDIATE CARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061016",
            "telephone_number": "646-461-2544",
            "fax_number": "646-461-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "KATE",
        "middle_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klieberman120489@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "106 Liberty St Bsmt",
            "address_2": "Medhattan Immediate Care",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100061016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Lieberman
• Janice Susan Lieberman, PHD
• Jeffrey Lieberman, M.D.
• Jonathan Lieberman, MD
• Julia Lieberman
• Marilyn Lieberman, LCSW
• Michael D Lieberman, M.D.
• Miriam Lieberman, LCSW
• Miriam Michelle Lieberman, MD
• Miriam R Lieberman, M.D.

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.