Robert George Lieb, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010797 Issued in NY

Practice address

20 Charles Colman Blvd
Pawling, NY 12564-1115

Phone

(845) 855-1100

Fax

(845) 855-1101

NPI assigned

Dec 8, 2005

Last updated

Feb 22, 2012By 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 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Hospice/Palliative Care, Preventive Medicine

Education

New York Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1982689378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHARLES COLMAN BLVD",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641115",
            "telephone_number": "845-855-1100",
            "fax_number": "845-855-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHARLES COLMAN BLVD",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125641115",
            "telephone_number": "845-855-1100",
            "fax_number": "845-855-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEB",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "5475660001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C-10797-1B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Konchan, M.A.CCC/SLP
• Virginia Krawczuk
• Cindy Joy Labella
• Laurie Schedgick-Davis, DO
• Patricia Edwards Lee, LCSW
• Kenneth Bruce Liegner, M.D., P.C.
• Giuseppina Lombardi, DDS
• Darlene D Malave, SLP
• Jodhvir Singh Mangat, MD
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)

• Chiropractor in Pawling, NY
• Providers in Pawling, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.