Liberty Podiatry PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

LIBERTY PODIATRY PC

Practice address

501 5TH Ave RM 506
New York, NY 10017-7838

Phone

(212) 921-7900

NPI assigned

Oct 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sooji Kim

Title

DPM/President

Phone

(212) 921-7900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1023899457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SARATOGA ST",
            "city": "TAPPAN",
            "state": "NY",
            "postal_code": "109832620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 5TH AVE RM 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177838",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOOJI",
        "authorized_official_title_or_position": "DPM/PRESIDENT",
        "authorized_official_telephone_number": "212-921-7900"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Libert
• Liberte Medical Enterprises PLLC
• Liberty Endoscopy, LLC
• Liberty Harbor Medical Services, P.C.
• Liberty Home Care Services LLC
• Liberty Spine and Pain LLC
• Liberty Wellness & Chiro PC
• Avital Liberzon, ATC
• Richard B Libes, PHD, MD
• Jeffrey David Libin, MD

• Foot & Ankle Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.