Active NPI
Liebergall Eye Associates, M.D.,P.C.
- Ophthalmology Physician
- Suffern, NY
National Provider Identifier
1487633079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- LIEBERGALL EYE ASSOCIATES, M.D.,P.C.
- Practice address
- 222 Route 59
Suite 207
Suffern, NY 10901-5204 - Phone
- (845) 357-2500
- Fax
- (845) 368-3937
- NPI assigned
- Jan 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Alan Liebergall, M.D.
- Title
- President
- Phone
- (845) 357-2500
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
222 Route 59
Suite 207
Suffern, NY 10901-5204
Mailing address
222 Route 59
Suite 207
Suffern, NY 10901-5204
Phone (845) 357-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
222 Route 59
Ste 207
Suffern, NY 10901
Phone (845) 357-2500
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Goshen, NY
- NPI 1538364906
-
- Optometrist
- Monsey, NY
- NPI 1225008089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248048000000",
"number": "1487633079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 ROUTE 59",
"address_2": "SUITE 207",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015204",
"telephone_number": "845-357-2500",
"fax_number": "845-368-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ROUTE 59",
"address_2": "SUITE 207",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015204",
"telephone_number": "845-357-2500",
"fax_number": "845-368-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIEBERGALL EYE ASSOCIATES, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2009-07-20",
"status": "A",
"authorized_official_last_name": "LIEBERGALL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-357-2500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.