Active NPI
Jennifer Denise Liburd, M.D.
- Pediatrics Physician
- Elmhurst, NY
National Provider Identifier
1730117797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201137
- Practice address
- 9002 Queens Blvd
Elmhurst, NY 11373-4941 - Phone
- (718) 558-5711
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 201137 | NY | |
| Pediatrics Physician | 208000000X | 201137 | NY | Primary |
Addresses
Primary practice location
9002 Queens Blvd
Elmhurst, NY 11373-4941
Mailing address
19 Landau LN
Spring Valley, NY 10977-1826
Other names 1
- Jennifer Denise Liburd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Emergency Medicine | Current | Accepting new patients |
| Bronxcare Health System | Emergency Medicine | Current | Accepting new patients |
| Caritas Emergency Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Suny Health Science Center at Brooklyn | Emergency Medicine | Past | Accepting new patients |
| Beth Israel Medical Center | Emergency Medicine | Past | Accepting new patients |
| Caritas Emergency Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1650 Grand Concourse
#C
Bronx, NY 10457
Phone (718) 294-7104
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Emergency Medicine Physician
- New York, NY
- NPI 1740378421
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1225134851
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Elmhurst, NY
- NPI 1518063155
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1386942555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1730117797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LANDAU LN",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9002 QUEENS BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734941",
"telephone_number": "718-558-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIBURD",
"first_name": "JENNIFER",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "201137",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "201137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LIBURD",
"middle_name": "DENISE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.