Active NPI
Michael Jay Liberman, DC
- Chiropractor
- Woodbury Heights, NJ
National Provider Identifier
1720051196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00391400
- Practice address
- 722 Mantua Pike
Suite 8
Woodbury Heights, NJ 08097-1141 - Phone
- (856) 384-1333
- Fax
- (856) 384-1297
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00391400 | NJ | Primary |
Addresses
Primary practice location
722 Mantua Pike
Suite 8
Woodbury Heights, NJ 08097-1141
Mailing address
2301 E Evesham Rd Ste 302
Voorhees, NJ 08043-4503
Phone (856) 770-1313
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00391400 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508112000000",
"number": "1720051196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E EVESHAM RD STE 302",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434503",
"telephone_number": "856-770-1313",
"fax_number": "856-770-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 MANTUA PIKE",
"address_2": "SUITE 8",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "080971141",
"telephone_number": "856-384-1333",
"fax_number": "856-384-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBERMAN",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2017-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00391400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.