Active NPI
Liberty Primary Care, LLC
- Family Medicine Physician
- Huntingdon Valley, PA
National Provider Identifier
1689327157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LIBERTY PRIMARY CARE, LLC
- Practice address
- 2138 County Line Rd
Huntingdon Valley, PA 19006-1740 - Phone
- (484) 282-4237
- Fax
- (215) 948-6030
- NPI assigned
- Feb 3, 2022
- 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
- Amy Litzburg
- Title
- Business Manager
- Phone
- (484) 766-1496
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2138 County Line Rd
Huntingdon Valley, PA 19006-1740
Mailing address
401 Horsham Rd
Horsham, PA 19044-2013
Phone (610) 636-6242
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Primarycare@libertyucc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220225000014 | PA | Part B Supplier - Clinic/Group Practice | 1456745082 |
Receives reassigned benefits from 5 practitioners Practice locations: Huntingdon Valley, PA |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- primarycare@libertyucc.com
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1689327157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HORSHAM RD",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442013",
"telephone_number": "610-636-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 COUNTY LINE RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190061740",
"telephone_number": "484-282-4237",
"fax_number": "215-948-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-03",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "LITZBURG",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "484-766-1496"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Primarycare@libertyucc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "2138 County Line Rd",
"city": "Huntingdon Valley",
"state": "PA",
"country_code": "US",
"postal_code": "190061740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Huntingdon Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.