Liberty Orthotics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LIBERTY ORTHOTICS, INC.

Practice address

1201 2ND Ave
New Hyde Park, NY 11040-5052

Phone

(516) 326-6786

Fax

(516) 326-6784

NPI assigned

Jun 2, 2023

Organization subpart

Yes

Parent organization

LIBERTY ORTHOTICS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Francis Xavier Brandt Sr.

Title

Owner

Phone

(516) 326-6786

Specialties & licenses 1

Addresses

Tax ID family

Liberty Orthotics Inc2 organizations share this tax ID, including this one

Part of

Liberty Orthotics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Orthotics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1083654503
  NPD tax ID

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 Orthotics, Inc.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1083654503
  NPPES parent name

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1497448567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405052",
            "telephone_number": "516-326-6786",
            "fax_number": "516-326-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405052",
            "telephone_number": "516-326-6786",
            "fax_number": "516-326-6784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Broadway Ste 118",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124013449",
            "country_code": "US",
            "telephone_number": "516-326-6786",
            "fax_number": "516-326-6784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "696 Dutchess Tpke Rm 1055",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126036444",
            "country_code": "US",
            "telephone_number": "516-326-6786",
            "fax_number": "516-326-6784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY ORTHOTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY ORTHOTICS, INC.",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-326-6786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Min Liang, MD
• Benita Tien-Ping Liao, M.D., M.P.H.
• Diana W Liao, LMHC
• Grace Liao
• Liberty Orthotics, Inc.
• Alissa A. Licata, FNP
• Marissa A. Licata, RD
• Alexandra Lieberman, MD
• Ira Lieberman, MD
• Life Body Medicine, PLLC

• Durable Medical Equipment & Medical Supplies in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• 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 Jun 2, 2023; 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.