Liberty Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIBERTY MEDICAL SUPPLY INC

Practice address

2313 Mermaid Ave
Brooklyn, NY 11224-2589

Phone

(718) 513-3838

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Igor Golden

Title

President

Phone

(212) 464-8838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1396974416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242589",
            "telephone_number": "718-513-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242589",
            "telephone_number": "718-513-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-464-8838"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Medical Devices
• Liberty Medical Diagnostics PC
• Liberty Medical Office, P.C.
• Liberty Medical Orthopedic Supplies, Inc.
• Liberty Medical Practice P.C
• Liberty Medical, LLC
• Liberty Medicine & Rehab PC
• Liberty Medicine & Rehab.
• Liberty Mobile Testing Inc
• Liberty RC Inc

• All providers in Brooklyn, NY
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.