Liberty Med Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

LIBERTY MED ASSOCIATES LLC

Practice address

1 Bethany Rd Ste 21
Hazlet, NJ 07730-1660

Phone

(732) 264-8282

NPI assigned

Mar 9, 2020

Organization subpart

Yes

Parent organization

LIBERTY MED ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Joseph John Calabro, DO

Title

Ceo

Phone

(732) 212-0051

Specialties & licenses 1

Addresses

Other names 1

• Liberty Med Associates Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033

  O20170509000044

  Same enrollment

Part of

Liberty Med Associates LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Liberty Medical Associates, LLC

  • Primary Care Clinic/Center
  • Orange, NJ
  • NPI 1659125185
  NPPES parent name

Practitioners 24

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

• Lillian Alt, M.D.

  • Hospitalist Physician
  • Lakewood, NJ
  • NPI 1619192028
  NPD
• Maarya Bokhari, MD

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1336645118
  NPD
• Tangie Keri Calascione, FNP-BC

  • Family Nurse Practitioner
  • Oakhurst, NJ
  • NPI 1033883665
  NPD
• Jemmy Castor, NP

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1821649625
  NPD
• Youn Hee Cho, NP

  • Family Nurse Practitioner
  • South Orange, NJ
  • NPI 1659450393
  NPD
• Ralph Desiderio, M.S.P.T.

  • Orthopedic Physical Therapist
  • Middletown, NJ
  • NPI 1619032059
  NPD
• CHI Man Catherine Hung, PT

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1770642654
  NPD
• Manoucheka Jean, FNP

  • Family Nurse Practitioner
  • Columbia, NJ
  • NPI 1467162610
  NPD
• Ummais N Khan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • West Orange, NJ
  • NPI 1649543380
  NPD
• Sarah Jane Lienesch, PT, DPT

  • Physical Therapist
  • Tinton Falls, NJ
  • NPI 1215454319
  NPD
• Farhan Malik, MD

  • Internal Medicine Physician
  • East Windsor, NJ
  • NPI 1437572468
  NPD
• Allison Ingrid Mullarney, DO

  • Internal Medicine Physician
  • Pennington, NJ
  • NPI 1740656024
  NPD

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1386279552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014947",
            "telephone_number": "732-936-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 21",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301660",
            "telephone_number": "732-264-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Perrine Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573628",
            "country_code": "US",
            "telephone_number": "732-264-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY MED ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY MED ASSOCIATES LLC",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "CALABRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-212-0051",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Med Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura K Palm LCSW
• Corey Laurence
• Marissa Lecardi
• Janet L. Lee, MSW, LSW
• Valentina Lefante
• Angela Lieu
• Normina Lim, PT
• Courtenay Lindsay
• Danielle Lippiello
• Jasna Ljutica, LPC

• All providers in Hazlet, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.