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DR. KENNETH V LIEBERMAN MD
NPI 1174582951
Pediatrics - Pediatric Nephrology in Hackensack, NJ

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
30 PROSPECT AVE, HUMC - PEDIATRIC CENTER, HACKENSACK, NJ 07601(551) 996-8228(551) 996-5397 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Mar 7, 2019 (2 updates tracked since 2019).

About Dr. Kenneth V Lieberman Md NPPES

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

DR. KENNETH V LIEBERMAN MD (NPI 1174582951) is an individual pediatric nephrology provider in Hackensack, New Jersey, licensed in New Jersey (25MA07270700) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1977).

NPPES Registry Identity

NPI1174582951
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDR. KENNETH V LIEBERMANCredential: MD
Location Address30 PROSPECT AVE, HUMC - PEDIATRIC CENTERHackensack, NJ 07601-1914
Mailing Address30 Prospect AveHackensack, NJ 07601-1915 · (551) 996-8228 · Fax (551) 996-5397
Phone(551) 996-8228
Fax(551) 996-5397
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1977
Enumeration DateMarch 21, 2006
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1174582951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NJ · 25MA07270700
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
30 PROSPECT AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Other Identifiers 3

Medicaid00634193 046NY
Other051590DHKPin
Medicaid0923702NJ

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

Dr. Kenneth V Lieberman Md 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 ID3870649940
PECOS Enrollment IDI20090915000778
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
JOSE DESCHAMPS
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802

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 Kenneth Lieberman's NPI number?

The NPI number for Kenneth Lieberman is 1174582951. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Kenneth Lieberman located?

Kenneth Lieberman practices at 30 Prospect Ave Humc - Pediatric Center, Hackensack, NJ 07601. The listed phone number is (551) 996-8228.

What is Kenneth Lieberman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Kenneth Lieberman enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Lieberman affiliated with any hospitals?

According to CMS data, Kenneth Lieberman is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Lieberman was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.