Tristate Physical Medicine Associates

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TRISTATE PHYSICAL MEDICINE ASSOCIATES

Practice address

317 W Germantown Pike Ste 102
East Norriton, PA 19403-4278

Phone

(302) 233-6916

Fax

(484) 631-1315

NPI assigned

Aug 10, 2022

Organization subpart

No

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

Authorized official

Name

Ronald Michael Lieberman, DONPI 1760404057

Title

Authorized Official

Phone

(302) 233-6916

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Michael Lieberman, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Norriton, PA
  • NPI 1760404057

  DE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1487382206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST STE 1200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011058",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W GERMANTOWN PIKE STE 102",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034278",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Silverside Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103724",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Industrial Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011648",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 E Uwchlan Ave",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411293",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Hamilton St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181046329",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Fries Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Blackwood",
            "state": "NJ",
            "postal_code": "080122086",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S 20th St Bldg 12-B1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191455001",
            "country_code": "US",
            "telephone_number": "302-233-3916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Presidential Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Glasgow Ave Ste 126",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197024777",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Ridgewood Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101190",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRISTATE PHYSICAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "302-233-6916",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.