NPIMap

Organization Active NPI

Community Radiology of Erie, Inc.

  • Diagnostic Radiology Physician
  • Orchard Park, NY
National Provider Identifier
1942443569
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD418380 Issued in PA
Legal business name
COMMUNITY RADIOLOGY OF ERIE, INC.
Practice address
51 S Meadow Dr
Orchard Park, NY 14127-2722
Phone
(716) 481-4717
Fax
(716) 677-4299
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Dr. Jeffrey Lieberman, M.D.
Title
Owner
Phone
(716) 481-4717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD418380 PA Primary

Addresses

Primary practice location

51 S Meadow Dr
Orchard Park, NY 14127-2722

Mailing address

PO Box 18005
Hauppauge, NY 11788-8805
Phone (631) 517-8000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1942443569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18005",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117888805",
            "telephone_number": "631-517-8000",
            "fax_number": "631-893-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MEADOW DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272722",
            "telephone_number": "716-481-4717",
            "fax_number": "716-677-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RADIOLOGY OF ERIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-481-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD418380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.