Organization Active NPI

Liberty

  • Assistive Technology Practitioner Audiologist
  • West Orange, NJ
National Provider Identifier
1235751272
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X
Legal business name
LIBERTY
Practice address
60 Gregory Ave
West Orange, NJ 07052-4713
Phone
(201) 306-5443
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Mr. Frank C Lombardo Jr., MA-CCC A
Title
Audiologist
Phone
(201) 498-1207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2400X Primary

Addresses

Primary practice location

60 Gregory Ave
West Orange, NJ 07052-4713

Mailing address

60 Gregory Ave
West Orange, NJ 07052-4713
Phone (201) 306-5443

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1235751272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GREGORY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524713",
            "telephone_number": "201-306-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GREGORY AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524713",
            "telephone_number": "201-306-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "201-498-1207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA-CCC A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.