Elliott Lieberman, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

133768 Issued in NY

Practice address

875 Old Country Rd
Ste 301
Plainview, NY 11803-4934

Phone

(516) 931-1710

Fax

(516) 931-2362

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: elliottlieberman@imppllc.allscriptsdirect.net

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1649276304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "STE 301",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034934",
            "telephone_number": "516-931-1710",
            "fax_number": "516-931-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "STE 301",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034934",
            "telephone_number": "516-931-1710",
            "fax_number": "516-931-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "133768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretel Leyva
• Li Infectious Disease Medicine PLLC
• Qi Li, L.AC
• Wei Li
• Jiani Z Liang
• Kate Lieberman
• Miriam Lifshitz, MD
• Ruiwen Lin, PHARMD
• Willis Lin
• Scott Lewis Linden, PH.D.

• Urology Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.

Verify at the official NPI Registry.