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DEREK LIEBERMAN
NPI 1144646498
Physician Assistant in Garden City, NY

Active since March 11, 2014PECOS EnrolledAccepts Medicare Assignment
877 STEWART AVE, GARDEN CITY, NY 11530(516) 745-0202 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Lieberman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK LIEBERMAN (NPI 1144646498) is an individual physician assistant in Garden City, New York, licensed in New York (01749) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144646498
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK LIEBERMAN
Location Address877 STEWART AVEGarden City, NY 11530-4803
Mailing Address544 N Lewis AveLindenhurst, NY 11757-3536 · (631) 245-2514
Phone(516) 745-0202
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 11, 2014
✔ NPI 1144646498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 01749
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
877 STEWART AVE, Garden City, NY 11530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Lieberman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456637271
PECOS Enrollment IDI20170411000142
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONTE & GREEN, PLLC
Dentist (General Practice)
877 STEWART AVE, SUITE 26
GARDEN CITY, NY 11530
Nassau County (516) 222-1717
DR. MIGUEL CIMA MD
Internal Medicine
877 STEWART AVE, SUITE 28
GARDEN CITY, NY 11530
Nassau County (516) 222-1000
ADVANCED OTOLARYNGOLOGY, PC
Otolaryngology
877 STEWART AVE, SUITE 2
GARDEN CITY, NY 11530
Nassau County (516) 222-1105
GARY S ROSENBERG M.D.
Obstetrics & Gynecology
877 STEWART AVE, SUITE 7
GARDEN CITY, NY 11530
Nassau County (516) 222-0722
STEVEN RICHARD SHERWIN M.D.
Obstetrics & Gynecology
877 STEWART AVE, SUITE 30
GARDEN CITY, NY 11530
Nassau County (516) 222-1033
SONALI KAKANI M.D.
Radiology (Diagnostic Radiology)
877 STEWART AVE, SUITE 2
GARDEN CITY, NY 11530
Nassau County (516) 222-1105
MARY HARKIN AU.D.
Audiologist
877 STEWART AVE, SUITE 8
GARDEN CITY, NY 11530
Nassau County (516) 222-8879
CHS PHYSICIAN PARTNERS, PC
Orthopaedic Surgery
877 STEWART AVE, SUITE 1
GARDEN CITY, NY 11530
Nassau County (516) 325-7310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Lieberman's NPI number?

The NPI number for Derek Lieberman is 1144646498. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Derek Lieberman located?

Derek Lieberman practices at 877 Stewart Ave, Garden City, NY 11530. The listed phone number is (516) 745-0202.

What is Derek Lieberman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Derek Lieberman enrolled in Medicare?

Yes. Derek Lieberman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derek Lieberman was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.