Jeffrey Todd Liegner, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA06536300 Issued in NJ

Practice address

350 Sparta Ave
BLDG a
Sparta, NJ 07871

Phone

(973) 729-5757

Fax

(973) 729-8322

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA, ID3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Custom Eyes RX Inc

  • Health Service Clinic/Center
  • Matamoras, PA
  • NPI 1982732715
  Medicare reassignment NPD Authorized official
• The Eye Associates, P.a.

  • Ophthalmology Physician
  • Meridian, ID
  • NPI 1316013691
  Medicare reassignment NPD
• Northwest Jersey Ambulatory Surgery Center, PA

  • Health Service Clinic/Center
  • Sparta, NJ
  • NPI 1629107099
  NPD Authorized official
• Monroe Vision and Hearing Center, Inc.

  • Optometrist
  • Stroudsburg, PA
  • NPI 1497821235
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192924800000",
    "number": "1730280314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE BLDG A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-729-5757",
            "fax_number": "973-729-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE",
            "address_2": "BLDG A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-729-5757",
            "fax_number": "973-729-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEGNER",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA06536300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest B Leibov, MD
• Gia N Leo, LCSW, LCADC
• Laura Anne Leone, LPC
• Kristen Levey
• Richard Levine, MD
• Lifebrook Surgical Practice LLC
• Lifestyle Acupuncture of New Jersey
• Donna L Limmert, LCSW
• Michael Evan Lindy, M.D.
• Kathleen Oroho Linskey, PHARMD

• Ophthalmology Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2007; 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.

Verify at the official NPI Registry.