Liberty Chiropractic and Physical Therapy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00528300 Issued in NJ

Legal business name

LIBERTY CHIROPRACTIC AND PHYSICAL THERAPY

Practice address

590 Newark Ave
Jersey City, NJ 07306-2302

Phone

(201) 420-1165

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. James Prete, DCNPI 1811965882

Title

Owner

Phone

(201) 420-1165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• James Prete, D.C.

  • Chiropractor
  • Jersey City, NJ
  • NPI 1811965882
  Medicare reassignment NPD Authorized official
• Clarvin Alfonso Ombajin, P.T.

  • Physical Therapist
  • Fair Lawn, NJ
  • NPI 1568595395
  Medicare reassignment NPD
• Michael Manno, DC

  • Chiropractor
  • Jersey City, NJ
  • NPI 1356704738
  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1417464215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062302",
            "telephone_number": "201-420-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062302",
            "telephone_number": "201-420-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "PRETE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-420-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00528300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Ambulatory Surgery Center, LLC
• Liberty Anesthesia Associates LLC
• Liberty Behavioral Health Associates
• Liberty Career Service Inc (Liberty Home Care)
• Liberty Child and Adolescent Health Services
• Liberty Diagnostic Pathology PA
• Liberty Emergency Medical Associates LLC
• Liberty Foot and Ankle Care
• Liberty Health Care System (Ctr for Children with Special Needs)
• Liberty Health Jersy City Medical Center

• Chiropractor in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.