Dr Jesse Liebman Chiropractic Physician LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

38MC00423400 Issued in NJ

Legal business name

DR JESSE LIEBMAN CHIROPRACTIC PHYSICIAN LLC

Practice address

100 Old Marlton Pike W
Marlton, NJ 08053-2026

Phone

(856) 596-3000

Fax

(856) 596-7311

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jesse R. Liebman, D.C.

Title

Physician

Phone

(856) 596-3000

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1699989947",
    "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": "856-596-7311"
        },
        {
            "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": "856-596-3000",
            "fax_number": "856-596-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JESSE LIEBMAN CHIROPRACTIC PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "LIEBMAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-596-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00423400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U35059",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA.BLUE SHIELD-PERSCHOICE",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2664713",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2705755",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Douglas, M.D.
• Cheyanna B. Douglas, APN
• Lesley Doumaux, MACCC-SLP
• Sandra J Doyle, IBCLC
• Dr Catherine D Morse P C
• Dr. Catherine Morse,P.C.
• Dr. Gregory a. Pistone MDPC
• Dr. Howard L. Press PA
• Kristen M Drexler, APN
• Thomas Driscoll, M.D.

• Nutrition Chiropractor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Nutrition Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.