Active NPI
Dean Lieberman, PA-C
- Physician Assistant
- Atlantis, FL
National Provider Identifier
1407864143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9100994
- Practice address
- 5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139 - Phone
- (561) 433-4444
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9100994 | FL | Primary |
Addresses
Primary practice location
5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139
Mailing address
5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139
Phone (561) 433-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290660100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1697 W Indiantown Rd
Jupiter, FL 33458-3979
Phone (561) 420-8555
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
5240 Donald Ross Rd
Palm Beach Gardens, FL 33418-7258
Phone (561) 786-5887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9100994 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Neurosurgery LLC | Past | Accepting new patients | |
| MD Now Medical Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Neurological Surgery Physician
- Atlantis, FL
- NPI 1649218561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242604800000",
"number": "1407864143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 S CONGRESS AVE",
"address_2": "SUITE 150",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621139",
"telephone_number": "561-433-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 S CONGRESS AVE",
"address_2": "SUITE 150",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621139",
"telephone_number": "561-433-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "DEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2009-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9100994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290660100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.