Organization Active NPI

Lieberman Parkinson Clinic

  • Neuromusculoskeletal Medicine & OMM Physician
  • North Bay Village, FL
National Provider Identifier
1689613465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
ME78796 Issued in FL
Legal business name
LIEBERMAN PARKINSON CLINIC
Practice address
1440 J F Kennedy Cswy
Suite 102
North Bay Village, FL 33141-4130
Phone
(305) 403-4773
Fax
(305) 403-4776
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Abraham Nathan Lieberman, M.D.
Title
Ceo/President
Phone
(305) 403-4773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X ME78796 FL Primary

Addresses

Primary practice location

1440 J F Kennedy Cswy
Suite 102
North Bay Village, FL 33141-4130

Mailing address

10205 Collins Ave
Apt# 107
Bal Harbour, FL 33154-1403
Phone (305) 865-3206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689613465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 COLLINS AVE",
            "address_2": "APT# 107",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "331541403",
            "telephone_number": "305-865-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 J F KENNEDY CSWY",
            "address_2": "SUITE 102",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414130",
            "telephone_number": "305-403-4773",
            "fax_number": "305-403-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBERMAN PARKINSON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "305-403-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "ME78796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.