Provider Demographics
NPI:1316210990
Name:GELIEBTER, ARI (MD)
Entity Type:Individual
Prefix:DR
First Name:ARI
Middle Name:
Last Name:GELIEBTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 W PASSAIC ST STE 14
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1264
Mailing Address - Country:US
Mailing Address - Phone:201-903-0070
Mailing Address - Fax:201-322-0287
Practice Address - Street 1:240 W PASSAIC ST STE 14
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1264
Practice Address - Country:US
Practice Address - Phone:201-903-0070
Practice Address - Fax:201-322-0287
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269319207R00000X, 207RE0101X
NJ25MA09882400207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine