IndividualActive
Kenneth Lieberman, MD
NPI 1174582951 · Pediatric Nephrology Physician · Hackensack, NJ
Provider details
- NPI number
- 1174582951
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA07270700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 Prospect Ave
Humc - Pediatric Center
Hackensack, NJ 07601-1914
Phone: (551) 996-8228
Fax: (551) 996-5397
Approximate (ZIP-level) locationGet directions
Mailing address
30 Prospect Ave
Hackensack, NJ 07601-1915
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.