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

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

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.

• Bimc Faculty Practice

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

  Physician Assistant

  NPD (past)
• Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Manhasset, NY
  • NPI 1144659749
  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.