Organization Active NPI

Liberty Park Chiropractic, PC

  • Chiropractor
  • Ozone Park, NY
National Provider Identifier
1811375660
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LIBERTY PARK CHIROPRACTIC, PC
Practice address
93-16 Liberty Avenue
Ozone Park, NY 11417-1528
Phone
(718) 764-6669
Fax
(718) 835-5505
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Mr. Joseph A Ciccone, DC
Title
President/Owner
Phone
(718) 764-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

93-16 Liberty Avenue
Ozone Park, NY 11417-1528

Mailing address

93-16 Liberty Avenue
Ozone Park, NY 11417-1528
Phone (718) 764-6669

National Provider Directory

National Provider Directory
Tax ID family
Liberty Park Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1811375660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93-16 LIBERTY AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171528",
            "telephone_number": "718-764-6669",
            "fax_number": "718-835-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93-16 LIBERTY AVENUE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171528",
            "telephone_number": "718-764-6669",
            "fax_number": "718-835-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-764-6669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.