Liberty Millennium Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LIBERTY MILLENNIUM INC

Practice address

5635 Harris Hill Rd
Williamsville, NY 14221-2897

Phone

(716) 579-0069

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Eric Shvartsberg

Title

President

Phone

(716) 579-0069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1255963443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 HARRIS HILL RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212897",
            "telephone_number": "716-579-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 HARRIS HILL RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212897",
            "telephone_number": "716-579-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MILLENNIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "SHVARTSBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-579-0069"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05438904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Untress A Lewis, LPN
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• Jamie Lynn Liebler, CDN
• Sheryl L. Lighten, RN

• Non-emergency Medical Transport (VAN) in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

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