Active NPI
Liberty
- Assistive Technology Practitioner Audiologist
- West Orange, NJ
National Provider Identifier
1235751272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 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 DirectoryNPI 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.