LIBERTY ORTHOTICS INC. NPI 1083654503

NPI Information

NPI: 1083654503
Provider Name: LIBERTY ORTHOTICS, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1201 2ND AVE
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 326-6786
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LIBERTY ORTHOTICS, INC. is a durable medical equipment medical supplies in New Hyde Park, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LIBERTY ORTHOTICS, INC. NPI is 1083654503. The provider is registered as an organization entity type.

The provider's business location address is:

1201 2ND AVE
NEW HYDE PARK, NY
ZIP 11040-925
Phone: (516) 326-6786
Fax: (516) 326-6784

The provider's authorized official is Francis Xavier Brandt .
The authorized official title is President/owner and has the following contact phone number (516) 326-6786.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	57P0182	OTHER	NEW YORK	ABC HEALTH PLANS
2	02010093	MEDICAID	NEW YORK
3	1000023042	OTHER	NEW YORK	AFFINITY PROVIDER NUMBER
4	10532	OTHER	NEW YORK	HUDSON HEALTH PLAN
5	10093592	OTHER	NEW YORK	CDPHP PROVIDER #
6	4C4927	OTHER	NEW YORK	HEALTH NET
7	04072200123	OTHER	NEW YORK	FIDELIS HEALTH PLANS
8	000412358262	OTHER	NEW YORK	HEALTH PLUS
9	2021095	OTHER	NEW YORK	AETNA PROVIDER NUMBER
10	1211801	OTHER	NEW YORK	COMMUNITY PREMIER PLUS
11	3125	OTHER	NEW YORK	NY PRESBYTERIAN SELECT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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