Active NPI
Liberty Medical Orthopedic Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
National Provider Identifier
1932266749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LIBERTY MEDICAL ORTHOPEDIC SUPPLIES, INC.
- Practice address
- 194 Cypress Ave
Brooklyn, NY 11237-4438 - Phone
- (718) 484-4000
- Fax
- (718) 484-1516
- NPI assigned
- Jan 2, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Malvina Gelman, C.PED
- Title
- VP
- Phone
- (718) 484-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
194 Cypress Ave
Brooklyn, NY 11237-4438
Mailing address
194 Cypress Ave
Brooklyn, NY 11237-4438
Phone (718) 484-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056351 | NY | DME Supplier - Medical Supply Company | 5496957300 | Practice locations: Brooklyn, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Liberty Medical Orthopedic Supplies | Commodes, Urinals, Bedpans|Pneumatic Compression Devices and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Of… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
194 Cypress Ave
Brooklyn, NY 11237
Phone (718) 484-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932266749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 CYPRESS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374438",
"telephone_number": "718-484-4000",
"fax_number": "718-484-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 CYPRESS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374438",
"telephone_number": "718-484-4000",
"fax_number": "718-484-1516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY MEDICAL ORTHOPEDIC SUPPLIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GELMAN",
"authorized_official_first_name": "MALVINA",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "718-484-4000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.PED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.