NPIMap

Organization Active NPI

Liberty Wellness & Chiro PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1578774469
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006851-1 Issued in NY
Legal business name
LIBERTY WELLNESS & CHIRO PC
Practice address
30 Wall St Ste 500
New York, NY 10005-2201
Phone
(212) 742-8000
Fax
(212) 742-1557
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Sean V Cotter, DC
Title
Ao/Provider
Phone
(212) 742-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006851-1 NY Primary

Addresses

Primary practice location

30 Wall St Ste 500
New York, NY 10005-2201

Mailing address

30 Wall St Ste 500
New York, NY 10005-2201
Phone (212) 742-8000

Other names 1

  • Liberty Wellness Center Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1578774469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALL ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052201",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WALL ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052201",
            "telephone_number": "212-742-8000",
            "fax_number": "212-742-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY WELLNESS & CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "AO/PROVIDER",
        "authorized_official_telephone_number": "212-742-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006851-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Liberty Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.