Liberty Pain Care LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

LIBERTY PAIN CARE LLC

Practice address

670 N Beers St BLDG No3
Holmdel, NJ 07733-1516

Phone

(732) 665-6492

Fax

(732) 856-9901

NPI assigned

Oct 3, 2017

Last updated

Jun 6, 2025By 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. Shruti A Shah, MDNPI 1114158755

Title

Doctor

Phone

(732) 665-6492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16516/brand/1/csg/1/fhir/r4

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.

• Shruti A Shah, MD

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
  • NPI 1114158755
  Medicare reassignment NPD Authorized official
• Katrina Vitale

  • Family Nurse Practitioner
  • Middletown, NJ
  • NPI 1154891869
  Medicare reassignment NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1801306956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WICK DR",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088631444",
            "telephone_number": "732-665-6492",
            "fax_number": "732-856-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST BLDG NO3",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-665-6492",
            "fax_number": "732-856-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Shrewsbury Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024151",
            "country_code": "US",
            "telephone_number": "732-665-6492",
            "fax_number": "844-649-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIBERTY PAIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHRUTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-665-6492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI I Lee
• Robert G Lehman, D.C.
• Leonardo S Fernandez, LLC
• Lisa Robyn Levine-Rostowsky, OTR/L
• Liberty Med Associates LLC
• Lee Marc Lichtenstein, DMD
• Hannah M. Lidberg, APRN, FNP-BC, CNOR
• Lifemed Solutions LLC.
• Lillian Dawson LLC (Clear Path NJ)
• Ron Lung-Jeng Lin, OD

• Pain Medicine (Anesthesiology) Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.

Verify at the official NPI Registry.