Liberty Ride LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

S86649214 Issued in MA

Legal business name

LIBERTY RIDE LLC

Practice address

65 Lake Ave
Apt. 831
Worcester, MA 01604-1199

Phone

(978) 514-3930

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Marlo Rita Tersigni

Title

Managing Member

Phone

(978) 514-3930

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1679990329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MAIN ST # 1M5",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021291125",
            "telephone_number": "978-514-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAKE AVE",
            "address_2": "APT. 831",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041199",
            "telephone_number": "978-514-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "TERSIGNI",
        "authorized_official_first_name": "MARLO",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "978-514-3930"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MA",
            "license": "S86649214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lian, M.D.
• Lianne Inc
• Caiyun Liao, MD, MPH
• Elizabeth Liao, M.D.
• Katherine Liatsos
• Liberty Social Services Inc.
• Desarai Alluria Liberty, LRC
• Daniel H Libraty, M.D.
• Joseph Anthony Licausi
• Samuel D. Licciardo, M.D.

• Non-emergency Medical Transport (VAN) in Worcester, MA
• Providers in Worcester, MA by specialty
• Non-emergency Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.