Organization Active NPI

Liberty Footcare, PLLC

  • Foot Surgery Podiatrist
  • South Richmond Hill, NY
National Provider Identifier
1952449332
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
NOO5798 Issued in NY
Legal business name
LIBERTY FOOTCARE, PLLC
Practice address
12506 Liberty Ave
South Richmond Hill, NY 11419-2234
Phone
(718) 322-7209
Fax
(718) 322-7210
NPI assigned
Feb 1, 2007
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Michael Katz, DPM
Title
Partner
Phone
(718) 322-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X NOO5798 NY Primary

Addresses

Primary practice location

12506 Liberty Ave
South Richmond Hill, NY 11419-2234

Mailing address

12506 Liberty Ave
South Richmond Hill, NY 11419-2234
Phone (718) 322-7209

National Provider Directory

National Provider Directory

Locations

12809 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 322-7209

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1952449332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12506 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192234",
            "telephone_number": "718-322-7209",
            "fax_number": "718-322-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12506 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192234",
            "telephone_number": "718-322-7209",
            "fax_number": "718-322-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOOTCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-322-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.