DR. JAY ADAM LIEBERMAN M.D. NPI 1407877004

NPI Information

  • NPI: 1407877004
  • Provider Name: DR. JAY ADAM LIEBERMAN, M.D.
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 51 N DUNLAP ST
    SUITE 400
    MEMPHIS, TN
    ZIP 38105
  • Phone: (901) 287-7337

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NPI Details

DR. Jay Adam Lieberman, M.D. is an allergy immunology in Memphis, TN with 19 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. Jay Adam Lieberman, M.D. NPI is 1407877004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

51 N DUNLAP ST
SUITE 400
MEMPHIS, TN
ZIP 38105-625
Phone: (901) 287-7337
Fax: (901) 266-6488

The NPI 1407877004 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 7/21/2006 and was last updated on 1/28/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy48645TENNESSEENo
2207K00000XAllergy & Immunology254120-1NEW YORKNo
3207R00000XInternal Medicine2006015608MISSOURINo
4207K00000XAllergy & Immunology48645TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528562MEDICAIDTENNESSEE

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: 3/30/2025

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