NPIMap

Organization Active NPI

Liberty Healthcare Services

  • Community/Behavioral Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1093127912
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
HP0103704 Issued in NJ
Legal business name
LIBERTY HEALTHCARE SERVICES
Practice address
700 E Gate Dr
Suite 115
Mount Laurel, NJ 08054-3803
Phone
(856) 266-9239
Fax
(856) 840-0873
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Kevin Robert Zepp
Title
President
Phone
(609) 528-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X HP0103704 NJ Primary

Addresses

Primary practice location

700 E Gate Dr
Suite 115
Mount Laurel, NJ 08054-3803

Mailing address

700 E Gate Dr
Suite 115
Mount Laurel, NJ 08054-3803
Phone (856) 266-9239

Other identifiers 1

IdentifierTypeStateIssuer
HP0103704OtherNJHEALTHCARE SERVICE FIRM LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Liberty Healthcare Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1093127912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E GATE DR",
            "address_2": "SUITE 115",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543803",
            "telephone_number": "856-266-9239",
            "fax_number": "856-840-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GATE DR",
            "address_2": "SUITE 115",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543803",
            "telephone_number": "856-266-9239",
            "fax_number": "856-840-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "ZEPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-528-2080"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "HP0103704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE SERVICE FIRM LICENSE",
            "identifier": "HP0103704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.