Liberty Rehabilitation Associates

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MA068155 Issued in NJ

Legal business name

LIBERTY REHABILITATION ASSOCIATES

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(201) 392-3231

Fax

(201) 392-3207

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L Mayoral, M.D.NPI 1992798813

Title

Medical Director of Grop

Phone

(201) 392-3231

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge L Mayoral, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Morristown, NJ
  • NPI 1992798813
  NPD (past) Authorized official
• Jean Mary Barber, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1073506994
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740273663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074740345",
            "telephone_number": "201-392-3231",
            "fax_number": "201-392-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-392-3231",
            "fax_number": "201-392-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYORAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF GROP",
        "authorized_official_telephone_number": "201-392-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MA068155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Labombarda, OD
• Jonathan Lang
• Shahram Lashgari, DMD
• Annabelle Q Layugan, RN, ANP-BC
• Joonho Lee
• Liberty Riverside Healthcare
• Liberty Riverside Healthcare
• Liberty Riverside Healthcare
• Lisa Bilella Certified Registered Nurseanesthetist Services of Ny PLLC
• Yao Lu

• Physical Medicine & Rehabilitation Physician in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.