Edward Joshua Lieberman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033352 Issued in NY

Practice address

509 Madison Ave
Suite 1712
New York, NY 10022-5501

Phone

(212) 759-4486

NPI assigned

Mar 20, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972628295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361009",
            "telephone_number": "914-232-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MADISON AVE",
            "address_2": "SUITE 1712",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225501",
            "telephone_number": "212-759-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "EDWARD",
        "middle_name": "JOSHUA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce A Lieberman, MD
• Charlotte Annie Lieberman
• Diane Axt Lieberman, PHD, RD ,CSR ,CDN
• Donna E Lieberman, PHD
• Dorothy Lieberman, M.D.
• Evan Lieberman
• Grace Lieberman
• Janice Susan Lieberman, PHD
• Jeffrey Lieberman, M.D.
• Jonathan Lieberman, MD

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.