NPIMap

Organization Active NPI

Liberty Medical Device

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1154378628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIBERTY MEDICAL DEVICE
Doing business as
None
Practice address
902 Drew St
341
Brooklyn, NY 11208-5153
Phone
(347) 273-3973
Fax
(718) 348-1594
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Abimbola Abiodun Makinde
Title
Executive Director
Phone
(347) 273-3973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

902 Drew St
341
Brooklyn, NY 11208-5153

Mailing address

902 Drew St
341
Brooklyn, NY 11208-5153
Phone (347) 273-3973

Other names 1

  • None Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Liberty Medical Device2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154378628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 DREW ST",
            "address_2": "341",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085153",
            "telephone_number": "347-273-3973",
            "fax_number": "718-348-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 DREW ST",
            "address_2": "341",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112085153",
            "telephone_number": "347-273-3973",
            "fax_number": "718-348-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL DEVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAKINDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-273-3973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.