Organization Active NPI

Acorn Health Services, PC

  • Primary Care Clinic/Center
  • Northborough, MA
National Provider Identifier
1477073138
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
249400 Issued in MA
Legal business name
ACORN HEALTH SERVICES, PC
Practice address
112 Main St Ste 104
Northborough, MA 01532-1914
Phone
(508) 691-6086
Fax
(888) 592-2954
NPI assigned
Jun 23, 2017
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Dr. Karl F Liebermann, DONPI 1346353687
Title
Physician/President
Phone
(207) 299-5749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 249400 MA
Primary Care Clinic/Center 261QP2300X 249400 MA Primary

Addresses

Primary practice location

112 Main St Ste 104
Northborough, MA 01532-1914

Mailing address

PO Box 1038
Northborough, MA 01532-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171107001537 MA Part B Supplier - Clinic/Group Practice 5991061954 Receives reassigned benefits from 1 practitioner
Practice locations: Northborough, MA

National Provider Directory

National Provider Directory

Locations

112 Main St
Ste 104
Northborough, MA 01532
Phone (508) 691-6086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1477073138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015324038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN ST STE 104",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321914",
            "telephone_number": "508-691-6086",
            "fax_number": "888-592-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "LIEBERMANN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "207-299-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": "249400",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "249400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.