NPIMap

Organization Active NPI

Liberty Med Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
National Provider Identifier
1386279552
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LIBERTY MED ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1 Bethany Rd Ste 21
Hazlet, NJ 07730-1660

Mailing address

66 W Gilbert St
Tinton Falls, NJ 07701-4947
Phone (732) 936-6463

Other practice location 1

300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628
Phone (732) 264-8282

Other names 1

  • Liberty Med Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509000044 NJ Part B Supplier - Clinic/Group Practice 7416234075 Receives reassigned benefits from 82 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Old Bridge, NJ; Perth Amboy, NJ; Plainsboro, NJ; Rahway, NJ; Red Bank, NJ; Shrewsbury, NJ; Somerset, NJ; Somerville, NJ…

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Liberty Med Associates LLC

Locations

999 Palmer Ave
Ste 1
Holmdel, NJ 07733
Phone (732) 670-3313

300 Perrine Rd
Ste 315
Old Bridge, NJ 08857
Phone (732) 264-8282

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

  • 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.