Active NPI
RPJ Liberty Enterprises LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- RPJ LIBERTY ENTERPRISES LLC
- Practice address
- 4300 Belmont Ave Ste 5
Youngstown, OH 44505-1084 - Phone
- (330) 759-9666
- NPI assigned
- Sep 29, 2022
- 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
- Roy Palumbo
- Title
- Member/Partner
- Phone
- (330) 729-3646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
4300 Belmont Ave Ste 5
Youngstown, OH 44505-1084
Mailing address
4300 Belmont Ave
Youngstown, OH 44505-1084
Phone (330) 759-9666
Other names 1
- Xpress Mobile Xray of Ohio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
Portable X-ray supplier certification: CCN 36X0009886
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- XPRESS MOBILE XRAY OF OHIO
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Jan 11, 2024
- Last certification
- Dec 11, 2023
- Ownership / control type
- Partnership
- Facility address
- 4300 Belmont Avenue, Suite 5
Youngstown, OH 44505
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Youngstown, OH
- NPI 1023466240
3274829205
National Provider Directory
National Provider DirectoryLocations
14095 E Center St
Burton, OH 44021
Phone (440) 834-1084
4300 Belmont Ave
Ste 5
Youngstown, OH 44505
Phone (330) 729-3620
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Boardman, OH
- NPI 1386712289
-
- Diagnostic Radiology Physician
- Beachwood, OH
- NPI 1518924737
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1528016177
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1306890868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1992429336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051084",
"telephone_number": "330-759-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BELMONT AVE STE 5",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051084",
"telephone_number": "330-759-9666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RPJ LIBERTY ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-29",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "PALUMBO",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "MEMBER/PARTNER",
"authorized_official_telephone_number": "330-729-3646"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Xpress Mobile Xray of Ohio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.