Individual provider Active NPI

Cherry Elaine Libramonte, D.M.D

  • Periodontics
  • Brooklyn, NY
National Provider Identifier
1891832432
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
050669-1 Issued in NY
Practice address
1590 E 19TH St
Brooklyn, NY 11230-7204
Phone
(718) 339-3297
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 050669-1 NY Primary

Addresses

Primary practice location

1590 E 19TH St
Brooklyn, NY 11230-7204

Mailing address

1590 E 19TH St
Brooklyn, NY 11230-7204
Phone (718) 339-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118001705 NY Order and Referring Only - DentistPractitioner - Dentist 1355773094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050669-1NYMDPeriodontist
050669NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clibramonte1058252@nychhc.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1891832432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307204",
            "telephone_number": "718-339-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307204",
            "telephone_number": "718-339-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRAMONTE",
        "first_name": "CHERRY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "050669-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.