Jesse R. Liebman, DC.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

38MC00423400 Issued in NJ

Practice address

100 Old Marlton Pike W
Marlton, NJ 08053-2026

Phone

(856) 596-3000

Fax

(856) 596-3301

NPI assigned

Jan 12, 2007

Last updated

Sep 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liebman Wellness Center, P.C.

  • Chiropractor
  • Marlton, NJ
  • NPI 1699014654
  Medicare reassignment NPD Authorized official
• Dr Jesse Liebman Chiropractic Physician LLC

  • Nutrition Chiropractor
  • Marlton, NJ
  • NPI 1699989947
  Authorized official Same address or phone

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1962552638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532026",
            "telephone_number": "856-596-3000",
            "fax_number": "856-596-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD MARLTON PIKE W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532026",
            "telephone_number": "856-596-3000",
            "fax_number": "856-596-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "JESSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00423400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA.BLUE SHIELD-PERS.CH.",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2705755",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U35059",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "2116578000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2664713",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Liang, PA-C
• Liberty Corner Surgical Center at Marlton LLC
• Lice Lifters Marlton NJ
• Kristin Elizabeth Lieberman, M.A.
• Liebman Wellness Center, P.C.
• Justin Alec Liebman
• Lauren Liebman
• Laura Lienemann, APN
• Alison Lieu
• Life Approaches Counseling LLC

• Nutrition Chiropractor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Nutrition Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.