Organization Active NPI

Liebman Wellness Center, P.C.

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1699014654
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04234 Issued in NJ
Legal business name
LIEBMAN WELLNESS CENTER, P.C.
Practice address
100 Old Marlton Pike W
Marlton, NJ 08053-2026
Phone
(973) 827-3544
Fax
(973) 827-3588
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Ms. Jesse R Liebman, DCNPI 1962552638
Title
Owner
Phone
(856) 685-9707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X MC04234 NJ Primary

Addresses

Primary practice location

100 Old Marlton Pike W
Marlton, NJ 08053-2026

Mailing address

100 Old Marlton Pike W
Marlton, NJ 08053-2026
Phone (856) 596-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000262 NJ Part B Supplier - Clinic/Group Practice 6406093657 Receives reassigned benefits from 3 practitioners
Practice locations: Marlton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1699014654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532026",
            "telephone_number": "856-596-3000",
            "fax_number": "856-596-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532026",
            "telephone_number": "973-827-3544",
            "fax_number": "973-827-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBMAN WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "LIEBMAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-685-9707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.