Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Liebmann

Individual provider Nurse Practitioner · NPI 1154939064

Kevin Liebmann is a Nurse Practitioner in Princeton, New Jersey. Qualified in 2020, 6 years ago. Practices with Princeton Dermatology Associatespc, a 16-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

208 Bunn Dr
Princeton, NJ 08540-2851
Phone: (609) 683-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ01046900 (NJ)
Nurse Practitioner Taxonomy 363L00000X · Licence 346148 (NY)

Record details

NPI number1154939064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2020
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022
Mailing address208 Bunn Drive, Princeton, NJ 08540-6493

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Princeton Dermatology Associatespc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Princeton