Individual provider Active NPI

Ronald Michael Lieberman, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Norriton, PA
National Provider Identifier
1760404057
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
C20004708 Issued in DE
Practice address
317 W Germantown Pike Ste 102
East Norriton, PA 19403-4278
Phone
(302) 233-6916
Fax
(484) 631-1315
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS006878L PA
Physical Medicine & Rehabilitation Physician 208100000X 25MB06359000 NJ
Physical Medicine & Rehabilitation Physician 208100000X C2-0004708 DE
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS006878L PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MB06359000 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X C20004708 DE Primary

Addresses

Primary practice location

317 W Germantown Pike Ste 102
East Norriton, PA 19403-4278

Mailing address

1000 N West St Ste 1200
Wilmington, DE 19801-1058
Phone (302) 233-6916

Other practice location 1

2 Bala Plaza
Ste IL9
Bala Cynwyd, PA 19004-1503
Phone (484) 808-4168

Other practice location 2

119 E Uwchlan Ave
Exton, PA 19341-1293
Phone (302) 233-6916

Other practice location 3

2700 Silverside Rd Ste 1B
Wilmington, DE 19810-3724
Phone (302) 233-6916

Other practice location 4

2 Industrial Blvd Ste 210
Paoli, PA 19301-1648
Phone (302) 233-6916

Other practice location 5

160 Fries Mill Rd
Blackwood, NJ 08012-2086
Phone (302) 233-6916

Other practice location 6

2600 Glasgow Ave Ste 126
Newark, DE 19702-4777
Phone (302) 233-6916

Other practice location 7

100 Presidential Blvd Ste 300
Bala Cynwyd, PA 19004-1108
Phone (302) 233-6916

Other practice location 8

2800 S 20th St Bldg 12-B1
Philadelphia, PA 19145-5001
Phone (302) 233-6916

Other practice location 9

2201 Ridgewood Rd Ste 160
Wyomissing, PA 19610-1190
Phone (302) 233-6916

Other practice location 10

2200 Hamilton St Ste 212
Allentown, PA 18104-6329
Phone (302) 233-6916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000515 PA Practitioner - Physical Medicine and Rehabilitation 6406741198 Reassigns benefits to 1 organization
I20041228000136 DE Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6406741198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

119 E Uwchlan Ave
Exton, PA 19341-1293

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MB06359000NJMDPhysical Medicine & Rehabilitation Physician
OS006878LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Medicine & Rehabilitation CurrentSince Jul 16, 2017 Accepting new patients
Tristate Physical Medicine Associates Physical Medicine & Rehabilitation CurrentSince Jul 26, 2024 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Jul 16, 2017 Accepting new patients
Revive Spine and Pain Center PastSince Feb 4, 2024 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

52 Omega Dr
#F
Newark, DE 19713
Phone (302) 838-5200

2600 Glasgow Ave
Ste 126
Newark, DE 19702
Phone (302) 439-3063

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

2700 Silverside Rd
Ste 1B
Wilmington, DE 19810

2501 Silverside Rd
Wilmington, DE 19810
Phone (302) 529-5500

160 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 516-4566

2200 Hamilton St
Ste 212
Allentown, PA 18104
Phone (484) 273-0401

100 Presidential Blvd
Ste 300
Bala Cynwyd, PA 19004
Phone (484) 436-2123

333 E City Ave
Ste IL9
Bala Cynwyd, PA 19004
Phone (610) 617-9535

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

317 W Germantown Pike
Ste 103
East Norriton, PA 19403

119 E Uwchlan Ave
Ste 100
Exton, PA 19341
Phone (610) 359-5640

119 E Uwchlan Ave
Exton, PA 19341

317 W Germantown Pike
Ste 102
Norristown, PA 19403
Phone (215) 499-4659

2 Industrial Blvd
Ste 210
Paoli, PA 19301
Phone (484) 879-6508

2800 S 20th St
Bldg 12B1
Philadelphia, PA 19145
Phone (302) 233-3916

1561 Medical Dr
Pottstown, PA 19464
Phone (610) 792-9292

915 Old Fern Hill Rd
Ste 1
West Chester, PA 19380
Phone (610) 314-4314

2201 Ridgewood Rd
Ste 160
Wyomissing, PA 19610
Phone (484) 509-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGHDD/Endpoint/ADGHDD
  • Direct secure messaging: ronald.lieberman.1@22724.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1760404057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST STE 1200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011058",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W GERMANTOWN PIKE STE 102",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034278",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bala Plaza",
            "address_2": "Ste IL9",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041503",
            "country_code": "US",
            "telephone_number": "484-808-4168",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 E Uwchlan Ave",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193411293",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Silverside Rd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103724",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Industrial Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011648",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Fries Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Blackwood",
            "state": "NJ",
            "postal_code": "080122086",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Glasgow Ave Ste 126",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197024777",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Presidential Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S 20th St Bldg 12-B1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191455001",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Ridgewood Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101190",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Hamilton St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181046329",
            "country_code": "US",
            "telephone_number": "302-233-6916",
            "fax_number": "484-631-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS006878L",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB06359000",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "C2-0004708",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "OS006878L",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB06359000",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "DE",
            "license": "C20004708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.