Liberty Advanced Medical, P.C.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

212722 Issued in NY

Legal business name

LIBERTY ADVANCED MEDICAL, P.C.

Practice address

13313 103Rd Ave
South Richmond Hill, NY 11419-2305

Phone

(718) 843-9827

Fax

(718) 843-6205

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajpaul Singh, M.D.

Title

President

Phone

(718) 843-9827

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Riad Kayume, DC

  • Chiropractor
  • South Richmond Hill, NY
  • NPI 1780757708
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184747701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13313 103RD AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192305",
            "telephone_number": "718-843-9827",
            "fax_number": "718-843-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 103RD AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192305",
            "telephone_number": "718-843-9827",
            "fax_number": "718-843-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ADVANCED MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJPAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-843-9827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "212722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "2127223B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lensmasters, Inc
• Danielle Lynn Lesser
• Lin Leung, PHARMD, BCSCP
• Liberty 786 Dentistry
• Liberty Adult Day Care LLC
• Liberty Chiropractic Healthe & Wellness, P. C.
• Liberty Dental Care P.C.
• Liberty Eyecare Corp
• Liberty Eyes Inc.
• Liberty Footcare, PLLC

• Neurology Physical Therapist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Neurology Physical Therapist in New York

• 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.