Liberty Medical Office, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

234133 Issued in NY

Legal business name

LIBERTY MEDICAL OFFICE, P.C.

Practice address

530 Conduit Blvd
Suite-C
Brooklyn, NY 11208-3245

Phone

(718) 277-5500

Fax

(718) 277-2400

NPI assigned

Dec 9, 2013

Last updated

Dec 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zaber Ahmad Khan, M.D.

Title

President

Phone

(646) 752-7058

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1619308251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 DAHILL RD",
            "address_2": "SUITE - A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182289",
            "telephone_number": "718-435-4600",
            "fax_number": "718-435-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CONDUIT BLVD",
            "address_2": "SUITE-C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083245",
            "telephone_number": "718-277-5500",
            "fax_number": "718-277-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZABER",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-752-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "234133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02807454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Hearing Center
• Liberty Hearing Center
• Liberty Medical Device (None)
• Liberty Medical Devices
• Liberty Medical Diagnostics PC
• Liberty Medical Orthopedic Supplies, Inc.
• Liberty Medical Practice P.C
• Liberty Medical Supply Inc
• Liberty Medical, LLC
• Liberty Medicine & Rehab PC

• Primary Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.