Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174582951 Individual Practitioner Male Practitioner

Dr. Kenneth V Lieberman , MD

Pediatrics - Pediatric Nephrology • Hackensack, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Lieberman, MD is a certified Pediatrics - Pediatric Nephrology practicing in Hackensack, NJ. With approximately 49 years of clinical experience since graduating from Albert Einstein College Of Medicine Of Yeshiva University in 1977, Dr. Lieberman delivers high-quality medical care to the local community at 30 PROSPECT AVE.

Dr. Lieberman is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave
Humc - Pediatric Center

Hackensack, NJ 076011914

Telephone 5519968228
Fax 5519965397
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Albert Einstein College Of Medicine Of Yeshiva University

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Pediatric Nephrology in Hackensack, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
49 Yrs Matches City Avg
City Avg: 49.0 Yrs
State Avg: 40.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Hackensack, NJ (14 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lieberman (49 Years) 49 Yrs
Hackensack Specialty Average (49.0 Years) 49.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-09-30
Pediatrics - Pediatric Nephrology Primary Specialty

NUCC Taxonomy Code: 2080P0210X

State License NJ 25MA07270700

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00634193 046 (NY)
Medicaid State Provider ID
0923702 (NJ)
Commercial Insurance / Payer ID Pin
051590DHK

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Phone: 5519965045

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jesus Alvarez-Perez , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003009473

Doctor of Medicine (M.D.)

Dr. Jennifer Northridge , MD

Pediatrics - Adolescent Medicine

NPI 1003132853

Doctor of Medicine (M.D.)

Dr. Analysa Gallegos , MD

Emergency Medicine

NPI 1003219155

Doctor of Medicine (M.D.)

Dr. Paarth Raj , DO

Emergency Medicine

NPI 1003224197

Doctor of Osteopathic Medicine (D.O.)

Lauren Carucci , NP-C

Nurse Practitioner - Adult Health

NPI 1003262064

Nurse Practitioner (Certified)

Somdatta Gupta

Anesthesiology

NPI 1003293986

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address March 07, 2019

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011915 (Tel: 5519968228)

👤
Provider Name / Credentials Updated March 07, 2019

Recorded as KENNETH LIEBERMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Pediatrics (License #25MA07270700 in NJ)

NPI Profile Active July 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2010

Registered at 30 PROSPECT AVE, HUMC - PEDIATRIC CENTER, HACKENSACK, NJ 076011914 (Tel: 2013368228)

📍
Updated Business Mailing Address July 01, 2010

Registered at 30 PROSPECT AVE, HUMC - PEDIATRIC CENTER, HACKENSACK, NJ 076011914 (Tel: 2013368228)

👤
Provider Name / Credentials Updated July 01, 2010

Recorded as KENNETH LIEBERMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2010

Pediatrics (License #25MA07270700 in NJ)

🟢
Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174582951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: September 30, 2022
Sole Proprietor: No

Mailing Address

30 Prospect Ave

Hackensack, NJ 076011915

Phone: 5519968228

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.