Liberty Foot &Ankle Center

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

MD002445 Issued in NJ

Legal business name

LIBERTY FOOT &ANKLE CENTER

Practice address

933 Lacey Rd
Suite 3
Forked River, NJ 08731-1049

Phone

(732) 255-8805

NPI assigned

Feb 8, 2007

Last updated

Aug 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kennelly, DPMNPI 1992713192

Title

Owner

Phone

(732) 255-8805

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Paul Kennelly, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
  • NPI 1992713192

  O20100930043415

  Same enrollment

Locations

Practitioners 1

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.

• Paul Kennelly, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Toms River, NJ
  • NPI 1992713192
  Authorized official Same address or phone

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1952442550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 HOOPER AVE",
            "address_2": "STE.101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538130",
            "telephone_number": "732-255-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LACEY RD",
            "address_2": "SUITE 3",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311049",
            "telephone_number": "732-255-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOOT &ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "KENNELLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-255-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Lambert, MSN, APN, PMHNP-BC
• Peter Lapis, M.D.
• Amanda Leadem, OT
• Linda J. Leonard, LCSW
• Lori Leslie, L.C.S.W
• Jeffrey M. Lipper, M.D.
• Madeline List, OTR/L
• Little Hands Autism Therapy Services
• Liviu Crisan M.D. P.C.
• Joseph Loverde, D.M.D

• Foot & Ankle Surgery Podiatrist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.