Joshua R Leibovitz, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

MD21268 Issued in OR

Practice address

2600 SE Belmont St
Portland, OR 97214-2916

Phone

(503) 475-2844

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jleibovitz297474@oc.providencedirect.org

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.

• Salem Emergency Physicians Service, PC

  • Emergency Medicine Physician
  • Salem, OR
  • NPI 1063454395
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1912929910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142916",
            "telephone_number": "503-475-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142916",
            "telephone_number": "503-475-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 NE 78th Ct Ste A3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972182823",
            "country_code": "US",
            "telephone_number": "503-475-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBOVITZ",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OR",
            "license": "MD21268",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD21268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132088",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - PROVIDENCE",
            "identifier": "P01328167",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiu Tong Maria Lei, DDS
• Stan S Lei, MD, PHD
• Bakura Leib-Reiser
• Emily Leib, PHARM.D.
• Josie Leibfried
• Elise Hannah Leibowitz
• Janice E. Leibowitz, L.C.S.W.
• Paul Leibowitz, L.C.S.W.
• Ruth Q Leibowitz, PH.D.
• Stephanie Leichner

• Addiction Medicine (Psychiatry & Neurology) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.