Dr Kenneth V Lieberman, MD in Hackensack, NJ

Dr Kenneth V Lieberman, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Hackensack, New Jersey. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1977 and has 47 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and his current practice location is 30 Prospect Ave, Humc - Pediatric Center, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (551) 996-8228.

Dr Kenneth V Lieberman is licensed to practice in New Jersey (license number 25MA07270700) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174582951.

Contact Information

	Dr Kenneth V Lieberman, MD
	30 Prospect Ave, Humc - Pediatric Center, Hackensack, NJ 07601-1914
	(551) 996-8228
	(551) 996-5397

Map and Direction

Physician's Profile

Full Name	Dr Kenneth V Lieberman
Gender	Male
Speciality	Nephrology
Experience	47 Years
Location	30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth V Lieberman attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1977

NPI Data:

NPI Number: 1174582951
Provider Enumeration Date: 03/21/2006
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3870649940
Enrollment ID: I20090915000778

Medical Identifiers

Medical identifiers for Dr Kenneth V Lieberman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174582951	NPI	-	NPPES
00634193 046	Medicaid	NY
051590DHK	Other		PIN
0923702	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0210X	Pediatrics - Pediatric Nephrology	25MA07270700 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hackensack University Medical Center	Hackensack, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hackensack Meridian Health Medical Group - Specialty Care Pc	9133032519	1166

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth V Lieberman allows following entities to bill medicare on his behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth V Lieberman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth V Lieberman, MD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-8228	Dr Kenneth V Lieberman, MD 30 Prospect Ave, Humc - Pediatric Center, Hackensack, NJ 07601-1914 Ph: (551) 996-8228

Reviews and Comments

Pediatrics Doctors in Hackensack, NJ

Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919
Dr. Phillip I Ayeni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601 Phone: 201-996-2000
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329

Dr Kenneth V Lieberman, MD - Medicare Nephrology in Hackensack, NJ