Liberty Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LIBERTY PRIMARY CARE LLC

Practice address

1749 Hooper Ave Ste 203
Toms River, NJ 08753-8130

Phone

(732) 864-7030

Fax

(732) 864-7032

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By 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

Vinodrai Ghetiya, MDNPI 1568410249

Title

Owner

Phone

(732) 864-7030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Vinodrai Virji Ghetiya, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1568410249
  Medicare reassignment Care Compare group NPD Authorized official
• Savan Ghetiya, M.D.

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1124409057
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1699262295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE STE 203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-864-7030",
            "fax_number": "732-864-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE STE 203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-864-7030",
            "fax_number": "732-864-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "GHETIYA",
        "authorized_official_first_name": "VINODRAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-864-7030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Lewis, DC
• Kristen Lewis, APN
• Michael James Lewis, P.A
• Walter Emmett Lewis III, MD
• Daphney Lezin-Rakis, OD
• Delanie Libro
• Ronald J Liburdi, DC
• Margaret Mary Licchio, LCSW
• Life Choice Hospice of New Jersey, LLC (Compassus - Greater New Jersey)
• Life Choice Hospice of Southern New Jersey LLC

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.