Organization Active NPI

Liberty Dental Plan Organization

  • Health Maintenance Organization
  • Ewing, NJ
National Provider Identifier
1669939328
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
LIBERTY DENTAL PLAN ORGANIZATION
Practice address
820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone
(888) 703-6999
NPI assigned
Feb 28, 2019
Organization subpart
Yes
Parent organization
LIBERTY DENTAL PLAN CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Marzena Fercz
Title
Chief Compliance Officer
Phone
(888) 703-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

820 Bear Tavern Rd
Ewing, NJ 08628-1021

Mailing address

820 Bear Tavern Rd
Ewing, NJ 08628-1021

National Provider Directory

National Provider Directory
Part of
Liberty Dental Plan Corporation

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1669939328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BEAR TAVERN RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BEAR TAVERN RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086281021",
            "telephone_number": "888-703-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DENTAL PLAN ORGANIZATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY DENTAL PLAN CORPORATION",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "FERCZ",
        "authorized_official_first_name": "MARZENA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "888-703-6999"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.