Theodore W Lieberman MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

083922 Issued in NY

Legal business name

THEODORE W LIEBERMAN MD PC

Practice address

70 E 96TH St
1B
New York, NY 10128-0747

Phone

(212) 722-5477

Fax

(212) 722-5599

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theodore W Lieberman, MD

Title

President of Corporation

Phone

(212) 722-5477

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1851301139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 96TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280747",
            "telephone_number": "212-722-5477",
            "fax_number": "212-722-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 96TH ST",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280747",
            "telephone_number": "212-722-5477",
            "fax_number": "212-722-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE W LIEBERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "212-722-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "083922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NS3039",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125755",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYNET",
            "identifier": "5C5092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Zair Then, NP-BC, NP-C
• Sthefanie Then, LMSW
• Theo E. Obrig, Inc.
• Theodore Diktaban, MD PLLC
• Theodore Tyberg MD
• Araceli Theodore
• Deborah Anne Theodore
• John L. Theodore, PH.D.
• Mary Eugenia Theodore, MD MPH
• Nicole Theodore, LMSW

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.