Organization Active NPI

RPJ Liberty Enterprises LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Youngstown, OH
National Provider Identifier
1992429336
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
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

Updated by the provider on Jan 31, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230605001125 OH Part B Supplier - Portable X-Ray Supplier 3274829205 Receives reassigned benefits from 1 practitioner
Practice locations: Youngstown, OH
O20240313000895 OH Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3274829205 Practice locations: Youngstown, OH

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).

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.