Organization Active NPI

Liberty Medical Orthopedic Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1932266749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930056351 NY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic Personnel 5496957300 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Liberty Medical Orthopedic Supplies194 Cypress Ave, Brooklyn, NY 11237-4438(718) 484-4000 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 assignmentParticipating since May 10, 2006

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.