Individual provider Active NPI

David Alan Liebergall, M.D.

  • Ophthalmology Physician
  • Suffern, NY
National Provider Identifier
1619956240
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
190962 Issued in NY
Practice address
222 Route 59
Suite 207
Suffern, NY 10901-5204
Phone
(845) 357-2500
Fax
(845) 368-3937
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 190962 NY 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

Other identifiers 2

IdentifierTypeStateIssuer
01504847MedicaidNY
190962OtherNYSTATE LICEBSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050415000384 NY Practitioner - Ophthalmology 6608813662 Reassigns benefits to 2 organizations
I20051228000245 NJ Practitioner - Ophthalmology 6608813662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liebergall Eye Associates, M.D.,P.C.Group PAC ID 5991742959, 6 clinicians

Practice addresses (Care Compare)

222 Route 59
Suite 207
Suffern, NY 10901-5206
Phone (845) 357-2500

500 N Franklin Tpke
Ramsey, NJ 07446-1177
Phone (201) 995-9975

Merit-based Incentive Payment System (MIPS)

Final score
95.5 of 100Reported as group
Quality
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Liebergall Eye Associates, M.D.,P.C. Ophthalmology CurrentSince Oct 1, 2003 Accepting new patients

Locations

500 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 995-9975

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

222 Route 59
Suffern, NY 10901
Phone (845) 357-0316

222 Route 59
Ste 207
Suffern, NY 10901
Phone (845) 357-2500

Interoperability endpoints

  • Direct secure messaging: daliebergallmd@ocreyemd.direct.eyemdemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619956240",
    "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": {
        "last_name": "LIEBERGALL",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "190962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01504847",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICEBSE NUMBER",
            "identifier": "190962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.