Liberty Foot Care Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1963 Issued in MN

Legal business name

LIBERTY FOOT CARE INC

Practice address

287 Broadway
Bayonne, NJ 07002

Phone

(201) 858-4900

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Khaled H Elmasry, C PED

Title

Board Certified Pedorthist

Phone

(201) 858-4900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1639236276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3279",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-858-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-858-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOOT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ELMASRY",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BOARD CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "201-858-4900",
        "authorized_official_credential": "C PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "1963",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "1963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Scot Levine, D.O.
• Raphael J Levine, DDS
• Kate Lew, DMD
• Lisa Lew, RD
• Ming Li
• Liberty Pharmacy Inc
• Tyler Liguori, DO
• Marinos Vasiliou Lilikas, D.M.D
• Maria Melania Arrieta Lim, DDS
• Christine Limpin

• Durable Medical Equipment & Medical Supplies in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.