Active NPI
Richard R Liberthson, MD
- Cardiovascular Disease Physician
- Boston, MA
National Provider Identifier
1699742346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 37162
- Practice address
- 8 Hawthorne PL
Suite 110
Boston, MA 02114-2335 - Phone
- (617) 726-8510
- Fax
- (617) 726-9839
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 37162 | MA | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 37162 | MA |
Addresses
Primary practice location
8 Hawthorne PL
Suite 110
Boston, MA 02114-2335
Mailing address
8 Hawthorne PL
Suite 110
Boston, MA 02114-2335
Phone (617) 726-8510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019671 | Medicaid | MA | |
| 700822 | Other | MA | TUFTS HEALTH PLAN |
| M08708 | Other | MA | BCBS MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37162 | MA | MD | Pediatric Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1699742346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 HAWTHORNE PL",
"address_2": "SUITE 110",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142335",
"telephone_number": "617-726-8510",
"fax_number": "617-726-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 HAWTHORNE PL",
"address_2": "SUITE 110",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142335",
"telephone_number": "617-726-8510",
"fax_number": "617-726-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERTHSON",
"first_name": "RICHARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "37162",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MA",
"license": "37162",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019671",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "700822",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "M08708",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.