Individual provider Active NPI

Gary Arthur Lieber, DPM

  • Podiatrist
  • Boca Raton, FL
National Provider Identifier
1932218179
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-1448 Issued in FL
Practice address
1601 Clint Moore Rd
Suite 130
Boca Raton, FL 33487-2768
Phone
(561) 995-0229
Fax
(561) 989-0775
NPI assigned
Aug 30, 2006
Last updated
Sep 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-1448 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Suite 130
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd
Suite 130
Boca Raton, FL 33487-2768
Phone (561) 995-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000158 FL Practitioner - Podiatry 2860415304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Foot and Ankle SpecialistsGroup PAC ID 7214080282, 12 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 180
Boca Raton, FL 33487-5713
Phone (561) 995-0229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-1448FLMDPodiatrist
1448FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists CurrentSince May 1, 2016 Accepting new patients
Certified Foot & Ankle Specialists Podiatrist CurrentSince May 1, 2016 Accepting new patients
Gary a Lieber Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 130
Boca Raton, FL 33487
Phone (561) 251-9099

1601 Clint Moore Rd
Ste 180
Boca Raton, FL 33487
Phone (561) 939-0600

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 258-9431

4879 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone (954) 895-1222

4733 W Atlantic Ave
Ste 2
Delray Beach, FL 33445
Phone (561) 270-2898

Ste 203
Vero Beach, FL 32960
Phone (772) 567-0111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1932218179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-995-0229",
            "fax_number": "561-989-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "address_2": "SUITE 130",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-995-0229",
            "fax_number": "561-989-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "GARY",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.