JONATHAN LIEBMAN NP NPI 1790755171

NPI Information

  • NPI: 1790755171
  • Provider Name: JONATHAN LIEBMAN, NP
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 58 OLD NORTH RD
    WORTHINGTON, MA
    ZIP 01098
  • Phone: (413) 238-5511

Map and Directions

Get Directions

NPI Details

Jonathan Liebman, NP is a community health nurse practitioner in Worthington, MA with 30 years of experience. Jonathan Liebman, NP NPI is 1790755171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 OLD NORTH RD
WORTHINGTON, MA
ZIP 01098-753
Phone: (413) 238-5511
Fax: (413) 238-5358

The NPI 1790755171 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 1/26/2006 and was last updated on 2/6/2015.

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
1363LC1500XNurse PractitionerCommunity Health226054MASSACHUSETTSYes

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
1NP1363OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
2S63952MEDICARE UPINMASSACHUSETTS
3LINP1363MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI