Liberty Diagnostic Pathology PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

LIBERTY DIAGNOSTIC PATHOLOGY PA

Practice address

355 Grand St
Jersey City, NJ 07302-4321

Phone

(201) 915-2485

Fax

(201) 915-2377

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Strand, M.D.NPI 1154323533

Title

Director of Operations

Phone

(201) 915-2485

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Calvin L Strand, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jersey City, NJ
  • NPI 1154323533
  NPD (past) Authorized official

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1770575623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "address_2": "2ND FLOOR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-434-9309",
            "fax_number": "315-454-0136"
        },
        {
            "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": "201-915-2485",
            "fax_number": "201-915-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIAGNOSTIC PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "STRAND",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "201-915-2485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9027009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Anesthesia Associates LLC
• Liberty Behavioral Health Associates
• Liberty Career Service Inc
• Liberty Child and Adolescent Health Services
• Liberty Chiropractic and Physical Therapy
• Liberty Emergency Medical Associates LLC
• Liberty Foot and Ankle Care
• Liberty Health Care System
• Liberty Health Jersy City Medical Center
• Liberty Home Care, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.