NPIMap

Organization Active NPI

Liberte Medical Enterprises PLLC

  • Specialist
  • New York, NY
National Provider Identifier
1073954020
Registry record updated Jul 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LIBERTE MEDICAL ENTERPRISES PLLC
Practice address
40 Wall St
55TH Floor
New York, NY 10005-1304
Phone
(702) 953-1599
NPI assigned
Jul 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2013

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

Authorized official

Name
Dr. Joseph E Bosiljevac Jr., MD
Title
Co-Owner
Phone
(620) 366-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

40 Wall St
55TH Floor
New York, NY 10005-1304

Mailing address

40 Wall St
55TH Floor
New York, NY 10005-1304
Phone (702) 953-1599

National Provider Directory

National Provider Directory

Locations

40 Wall St
Fl 55
New York, NY 10005
Phone (702) 953-1599

NPI Registry JSON

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

{
    "created_epoch": "1373155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373155200000",
    "number": "1073954020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WALL ST",
            "address_2": "55TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051304",
            "telephone_number": "702-953-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALL ST",
            "address_2": "55TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051304",
            "telephone_number": "702-953-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTE MEDICAL ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-07",
        "last_updated": "2013-07-07",
        "status": "A",
        "authorized_official_last_name": "BOSILJEVAC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "620-366-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2013; 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.