Active NPI
Mark Ira Leibowitz, M.D.
- Urology Physician
- Silver City, NM
National Provider Identifier
1508864919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2003-0544
- Practice address
- 1264 E 32ND St
Silver City, NM 88061-7229 - Phone
- (505) 534-1444
- Fax
- (505) 534-1449
- NPI assigned
- Jul 9, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2003-0544 | NM | Primary |
Addresses
Primary practice location
1264 E 32ND St
Silver City, NM 88061-7229
Mailing address
4527 N Swan St
Silver City, NM 88061-4720
Phone (505) 534-4757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-0544 | NM | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508864919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 N SWAN ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614720",
"telephone_number": "505-534-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617229",
"telephone_number": "505-534-1444",
"fax_number": "505-534-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOWITZ",
"first_name": "MARK",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "2003-0544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.