Individual provider Active NPI

Jocelyn Ann Lieb, MD

  • Dermatology Physician
  • Ramsey, NJ
National Provider Identifier
1891945341
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08780100 Issued in NJ
Practice address
500 N Franklin Tpke Ste 318
Ramsey, NJ 07446-1160
Phone
(201) 500-7525
Fax
(201) 500-7527
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 241539 NY
Dermatology Physician 207N00000X 25MA08780100 NJ Primary

Addresses

Primary practice location

500 N Franklin Tpke Ste 318
Ramsey, NJ 07446-1160

Mailing address

156 Ramapo Valley Rd
Mahwah, NJ 07430-1199
Phone (201) 500-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20110503000502 NJ Practitioner - Dermatology 8123203379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Laser Center of NJ LLCGroup PAC ID 1951681378, 8 clinicians

Practice addresses (Care Compare)

500 N Franklin Turnpike
Suite 318
Ramsey, NJ 07446-1160
Phone (201) 500-7525

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions917
Skin biopsy183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08780100NJMDDermatology Physician
241539NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of New Jersey PC CurrentSince Mar 19, 2011 Accepting new patients
Skin & Laser Center of NJ, LLC Dermatology CurrentSince Oct 2, 2016 Accepting new patients
Paige Applebaum Farkas MD PA Dermatology Past Accepting new patients

Locations

156 Ramapo Valley Rd
Mahwah, NJ 07430
Phone (201) 500-7525

500 N Franklin Tpke
Ste 318
Ramsey, NJ 07446
Phone (201) 500-7525

52 Deforest Ave
Summit, NJ 07901
Phone (908) 277-3116

366 Veterans Memorial Hwy
Ste 2A
Commack, NY 11725

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00410

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1891945341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 RAMAPO VALLEY RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301199",
            "telephone_number": "201-500-7525",
            "fax_number": "201-500-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FRANKLIN TPKE STE 318",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461160",
            "telephone_number": "201-500-7525",
            "fax_number": "201-500-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "JOCELYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "241539",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08780100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.