Dr. Kenneth V Lieberman
MD | Pediatric Nephrology | Male
Dr. Kenneth V Lieberman, MD is a Hackensack, New Jersey based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Kenneth V Lieberman is
30 Prospect Ave, Humc - Pediatric Center, Hackensack, New Jersey - 07601-1914. He can be contacted on phone at
551-996-8228 and fax number 551-996-5397.
Dr. Kenneth V Lieberman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kenneth V Lieberman is
1174582951 which was assigned by NPPES on 21 Mar, 2006 and it was last updated on 30 Sep, 2022.
Dr. Kenneth V Lieberman license number is
25MA07270700 for Pediatrics, Pediatric Nephrology (2080P0210X) in New Jersey.
Dr. Kenneth V Lieberman deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Kenneth V Lieberman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Nephrology |
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| Provider Name : | Dr. Kenneth V Lieberman |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Kenneth V Lieberman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 30 Prospect Ave, Humc - Pediatric Center
Hackensack, NJ, 07601-1914
United States |
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| Phone Number : | 551-996-8228 |
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| Fax Number : | 551-996-5397 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174582951 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Mar, 2006 |
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| Last Updated On : | 30 Sep, 2022 |
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Medicare Participation:
Dr. Kenneth V Lieberman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3870649940 |
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| Medicare Enrollment ID : | I20090915000778 |
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| Primary Specialty : | Nephrology |
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| Medical School : | Albert Einstein College Of Medicine Of Yeshiva University |
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| Graduation Year : | 1977 |
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| Accepts Medicare? | Yes. Dr. Kenneth V Lieberman accepts medicare insurance. |
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Group Practice Association:
Dr. Kenneth V Lieberman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kenneth V Lieberman is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 995 | 30 Prospect Ave
Hackensack, NJ - 076011915
Ph: 5519965045 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth V Lieberman are as mentioned. Primary taxonomy code for Dr. Kenneth V Lieberman, MD is
2080P0210X (Pediatrics, Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0210X | Pediatrics, Pediatric Nephrology | Yes | 25MA07270700 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kenneth V Lieberman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00634193 046 | MEDICAID | NY | |
| 051590DHK | Other (non-Medicare) | | PIN |
| 0923702 | MEDICAID | NJ | |
| 35690100 | MEDICARE ID-Type Unspecified | | |
| B13704 | MEDICARE UPIN | | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | kenneth.lieberman@direct.hackensackmeridian.org
| No affiliation | DIRECT
Direct
| CSV
CSV
| 30 Prospect Ave, HUMC - Pediatric Center
Hackensack, NJ, 07601-1914
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 30 Prospect Ave
Hackensack, NJ, 07601-1915
United States |
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| Phone Number : | 551-996-8228 |
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| Fax Number : | 551-996-5397 |
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Business Location:
Patients can refer following map for directions to
Dr. Kenneth V Lieberman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.