Miriam R Lieberman, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

285743-1 Issued in NY

Practice address

150 W 55TH St
New York, NY 10019-5586

Phone

(212) 991-6490

NPI assigned

Apr 20, 2015

Sex

Female

Sole proprietor

No

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 NY

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 1

Specialty

Dermatology

Education

State University of New York Downstate Medical Center, 2015

Medicare assignment

May accept Medicare assignment

Group practices

NSS Dermatology PLLCGroup PAC ID 6204905516, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 8)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• NSS Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1700051158

  Procedural Dermatology

  Medicare reassignment Care Compare group NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Community Health Worker
  • Brooklyn, NY
  • NPI 1861859878
  Medicare reassignment NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1578800025

  Student in an Organized Health Care Education/Training Program

  NPD
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1326768862
  NPD (past)
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1427098227
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1861889552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 55TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195586",
            "telephone_number": "212-991-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MIRIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "285743-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Julia Lieberman, RPA-C
• Marilyn Lieberman, LCSW
• Michael D Lieberman, M.D.
• Miriam Lieberman, LCSW
• Miriam Michelle Lieberman, MD
• Paul Lieberman, BS PHARMACY
• Seth Mitchell Lieberman, M.D.
• Theodore W. Lieberman, MD
• Thomas Lieberman, LMT
• David Thaddeus Liebers, MD

• Procedural Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.