Liberty Urgent Care, LLP

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LIBERTY URGENT CARE, LLP

Practice address

12507 Liberty Ave
South Richmond Hill, NY 11419-2233

Phone

(917) 941-0172

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Ken Polonsky

Title

Billing Manager

Phone

(718) 480-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1215326137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192233",
            "telephone_number": "917-941-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY URGENT CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "POLONSKY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-480-6700"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Pharmacy Inc.
• Liberty Pharmacy RX Inc
• Liberty Rock Pharmacy, Inc.
• Liberty Social Adult Day Care LLC
• Liberty Specs
• Rozella Limerick, LPN
• Little Guyana Pharmacy & Cafe Inc
• Versha Dodwani Lohana
• Irma Liliana Lopez, O.D.
• Semyon Lorberg, RPH

• Urgent Care Clinic/Center in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.