NPIMap

Organization Active NPI

Liberty Medical Practice P.C

  • Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1942373675
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIBERTY MEDICAL PRACTICE P.C
Practice address
2848 Church Ave
Brooklyn, NY 11226-4106
Phone
(718) 941-2200
Fax
(718) 703-0872
NPI assigned
Nov 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Salah Mohamed III
Title
Director
Phone
(718) 859-8808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

2848 Church Ave
Brooklyn, NY 11226-4106

Mailing address

2848 Church Ave
Brooklyn, NY 11226-4106
Phone (718) 941-2200

National Provider Directory

National Provider Directory
Tax ID family
Liberty Medical Practice 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.

Locations

2848 Church Ave
Brooklyn, NY 11226
Phone (718) 417-8540

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942373675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-941-2200",
            "fax_number": "718-703-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264106",
            "telephone_number": "718-941-2200",
            "fax_number": "718-703-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-859-8808",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.