Provider Type Icon

DR. KENNETH V LIEBERMAN MD NPI 1174582951


NPI Information

NPI: 1174582951
Provider Name: DR. KENNETH V LIEBERMAN, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: HACKENSACK UNIVERSITY MEDICAL GROUP PC

PECOS Registration: Yes

Address:
30 PROSPECT AVE
HUMC - PEDIATRIC CENTER
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-8228
Get Directions

DR. Kenneth V Lieberman, MD is a pediatric nephrology pediatrics in Hackensack, NJ with 47 years of experience. The provider is a pediatrician who 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. DR. Kenneth V Lieberman, MD NPI is 1174582951. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1977

The provider's business location address is:

30 PROSPECT AVE
HUMC - PEDIATRIC CENTER
HACKENSACK, NJ
ZIP 07601-914
Phone: (551) 996-8228
Fax: (551) 996-5397

The NPI 1174582951 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 3/21/2006 and was last updated on 3/7/2019.


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
12080P0210XPediatricsPediatric Nephrology25MA07270700NEW JERSEYYes

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
10923702MEDICAIDNEW JERSEY
2051590DHKOTHERPIN
300634193 046MEDICAIDNEW 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.