Active NPI
Libera Medical, PLLC
- Reproductive Endocrinology Physician
- New York, NY
National Provider Identifier
1598189490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- Legal business name
- LIBERA MEDICAL, PLLC
- Practice address
- 425 5TH Ave
3Rd Floor
New York, NY 10016-2223 - Phone
- (646) 696-7476
- NPI assigned
- Feb 12, 2014
- Last updated
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James T King, M.D.
- Title
- President and Secretary
- Phone
- (908) 781-0666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | NY | Primary |
Addresses
Primary practice location
425 5TH Ave
3Rd Floor
New York, NY 10016-2223
Mailing address
425 5TH Ave
3Rd Floor
New York, NY 10016-2223
Phone (646) 696-7476
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1023158 | Libera Medical PLLC | Accreditation | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
425 5th Ave
Fl 3
New York, NY 10016
Phone (646) 792-7476
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Reproductive Endocrinology Physician
- New York, NY
- NPI 1114088085
-
- Reproductive Endocrinology Physician
- Las Vegas, NV
- NPI 1477565737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1598189490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 5TH AVE",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162223",
"telephone_number": "646-696-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 5TH AVE",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162223",
"telephone_number": "646-696-7476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERA MEDICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "908-781-0666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.