Liberty Medical Response LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

169243 Issued in PA

Legal business name

LIBERTY MEDICAL RESPONSE LLC.

Doing business as

Liberty Medical Response LLC.

Practice address

9998 Global Rd.
Suite 29
Philadelphia, PA 19115-1010

Phone

(215) 464-8560

Fax

(215) 689-2997

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Andrey Wladimirovich Zelenyuk, EMT

Title

Partner/Owner

Phone

(215) 464-8560

Specialties & licenses 1

Addresses

Other names 1

• Liberty Medical Response LLC. Doing business as

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1164653259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 GLOBAL RD.",
            "address_2": "SUITE 29",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151010",
            "telephone_number": "215-464-8560",
            "fax_number": "215-689-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 GLOBAL RD.",
            "address_2": "SUITE 29",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151010",
            "telephone_number": "215-464-8560",
            "fax_number": "215-689-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL RESPONSE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "ZELENYUK",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_middle_name": "WLADIMIROVICH",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "215-464-8560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "169243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Medical Response LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liberty Eye Surgical Center
• Liberty Eye Surgical Center LLC
• Liberty Home Care Services LLC
• Liberty in-Home Health Care LLC
• Liberty Medical Group PC
• Liberty Pharmacy Inc
• Liberty Resources Health and Wellness, LLC
• Liberty Resources Home Choices, LLC
• Liberty Wheels, LLC
• Liberty Wheels, LLC

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.