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DR. DEBORA KOGAN-LIBERMAN MD NPI 1972544054


NPI Information

NPI: 1972544054
Provider Name: DR. DEBORA KOGAN-LIBERMAN, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

Organization: MONTEFIORE MEDICAL CENTER

PECOS Registration: Yes

Address:
3415 BAINBRIDGE AVE
4TH FLOOR
BRONX, NY
ZIP 10467
Phone: (718) 741-2332
Get Directions

DR. Debora Kogan-liberman, MD is a pediatric gastroenterology pediatrics in Bronx, NY with 34 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Debora Kogan-liberman, MD NPI is 1972544054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3415 BAINBRIDGE AVE
4TH FLOOR
BRONX, NY
ZIP 10467-403
Phone: (718) 741-2332
Fax: (718) 515-5426

The NPI 1972544054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0206XPediatricsPediatric Gastroenterology25MA06234800NEW JERSEYNo
22080P0206XPediatricsPediatric Gastroenterology003487-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051605MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2H49548MEDICARE UPIN
303190732MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.