Liberty Pulmonary Critical Care

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

LIBERTY PULMONARY CRITICAL CARE

Practice address

355 Grand St
Jersey City, NJ 07302-4321

Phone

(201) 795-9155

NPI assigned

Nov 30, 2007

Last updated

Nov 30, 2007By 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. Rao Mikkilineni, M.D.

Title

Managing Partner

Phone

(201) 795-9155

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bertha Mayorquin, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1053643361
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1689856759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070397157",
            "telephone_number": "973-202-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024321",
            "telephone_number": "201-795-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PULMONARY CRITICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "MIKKILINENI",
        "authorized_official_first_name": "RAO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "201-795-9155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Health Jersy City Medical Center
• Liberty Home Care, Inc.
• Liberty Nursing Home of Jersey City Inc
• Liberty Physical Health PC
• Liberty Physical Therapy PC (Liberty Physical Therapy & Wellness)
• Liberty Surgical Associates
• Liberty Women OB/GYN PC
• Dana Libov, D.O.
• Leanne Licitra
• Life Care Pharmacy

• Critical Care Medicine (Internal Medicine) Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Critical Care Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.