Active NPI
Carl Marcus Lieberman, MD
- Specialist
- Framingham, MA
National Provider Identifier
1558457697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 32268
- Practice address
- 61 Lincoln St
Suite 207
Framingham, MA 01702-8264 - Phone
- (508) 875-6124
- Fax
- (508) 875-9349
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 32268 | MA | Primary |
Addresses
Primary practice location
61 Lincoln St
Suite 207
Framingham, MA 01702-8264
Mailing address
61 Lincoln St
Suite 207
Framingham, MA 01702-8264
Phone (508) 875-6124
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000557 | Other | MA | EVERCARE |
| 82886 | Other | MA | USHC |
| 19554 | Other | MA | HARVARD PILGRIM MILF IPA |
| 4497 | Other | MA | FALLON SELECT/DIRECT |
| 0017054 | Other | MA | NEIGHBORHOOD HEALTH |
| 20000000209 | Other | MA | HARVARD PILGRIM MWMC IPA |
| 709276 | Other | MA | TUFTS |
| 0151602 | Medicaid | MA | |
| B18142 | Other | MA | BLUE CROSS BLUE SHEILD |
| 1000015 | Other | MA | UNITED HEALTHCARE |
| 23511 | Other | MA | CHILDRENS MEDICAL SECURIT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558457697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 LINCOLN ST",
"address_2": "SUITE 207",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028264",
"telephone_number": "508-875-6124",
"fax_number": "508-875-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 LINCOLN ST",
"address_2": "SUITE 207",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017028264",
"telephone_number": "508-875-6124",
"fax_number": "508-875-9349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERMAN",
"first_name": "CARL",
"middle_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "32268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "1000557",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "82886",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM MILF IPA",
"identifier": "19554",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON SELECT/DIRECT",
"identifier": "4497",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0017054",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM MWMC IPA",
"identifier": "20000000209",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "709276",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0151602",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "B18142",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1000015",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "23511",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
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.