Active NPI
Peter Selig Liebert, M.D., FACS, FAAP
- Pediatric Surgery Physician
- White Plains, NY
National Provider Identifier
1598861247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 093575
- Practice address
- 222 Westchester Ave
Suite 403
White Plains, NY 10604-2906 - Phone
- (914) 428-3533
- Fax
- (914) 946-8766
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 093575 | NY | Primary |
| Pediatric Surgery Physician | 2086S0120X | 028589 | CT |
Addresses
Primary practice location
222 Westchester Ave
Suite 403
White Plains, NY 10604-2906
Mailing address
222 Westchester Ave
Suite 403
White Plains, NY 10604-2906
Phone (914) 428-3533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093575 | Other | NY | NEW YORK LISCENCE # |
| 082589 | Other | CT | CONN. LISCENCE # |
| 00607570 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028589 | CT | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1598861247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WESTCHESTER AVE",
"address_2": "SUITE 403",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042906",
"telephone_number": "914-428-3533",
"fax_number": "914-946-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WESTCHESTER AVE",
"address_2": "SUITE 403",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106042906",
"telephone_number": "914-428-3533",
"fax_number": "914-946-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERT",
"first_name": "PETER",
"middle_name": "SELIG",
"name_prefix": "Dr.",
"credential": "M.D., FACS, FAAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "093575",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CT",
"license": "028589",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LISCENCE #",
"identifier": "093575",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONN. LISCENCE #",
"identifier": "082589",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00607570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.