DEREK LIEBERMAN
NPI 1144646498
Physician Assistant in Garden City, NY

Active since March 11, 2014PECOS Enrolled
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: July 26, 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.

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
Sole ProprietorNo
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derek Lieberman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Dentist (General Practice)
877 STEWART AVE, SUITE 26
GARDEN CITY, NY 11530
Internal Medicine
877 STEWART AVE, SUITE 28
GARDEN CITY, NY 11530
Otolaryngology
877 STEWART AVE, SUITE 2
GARDEN CITY, NY 11530
Obstetrics & Gynecology
877 STEWART AVE, SUITE 7
GARDEN CITY, NY 11530
Obstetrics & Gynecology
877 STEWART AVE, SUITE 30
GARDEN CITY, NY 11530
Radiology (Diagnostic Radiology)
877 STEWART AVE, SUITE 2
GARDEN CITY, NY 11530
Audiologist
877 STEWART AVE, SUITE 8
GARDEN CITY, NY 11530
Orthopaedic Surgery
877 STEWART AVE, SUITE 1
GARDEN CITY, NY 11530

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Lieberman was last updated on March 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.