LIBERTY RC INC (NPI# 1982632543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982632543 |
Entity Type | Organization |
Organization Name | LIBERTY RC INC |
Other Organization Name | PORT CHESTER DIALYSIS AND RENAL CENTER |
Practice Address |
3020 Westchester Ave Ste 100 Purchase NY 10577-2510 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 9147015232 |
Practice Fax Number | 9142538495 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2020-10-01 |
Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 003116284 | 05 | |
NY | 03008968 | 05 |
Other Name | Type Code |
---|---|
Port Chester Dialysis and Renal Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639727852 | Liberty Rc Inc | Clinic/Center | 2521 Walden Ave Ste 600, Cheektowaga, NY 14225-4737 | 2019-08-30 |
1699261321 | Liberty Rc Inc | Clinic/Center | 475 S Transit St Ste 900, Lockport, NY 14094-5562 | 2018-07-05 |
1205353513 | Liberty Rc Inc | Clinic/Center | 3958 Vineyard Dr, Dunkirk, NY 14048-3522 | 2017-08-28 |
1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
1184930083 | Liberty Rc Inc | Clinic/Center | 4910 Camp Rd, Ste 100, Hamburg, NY 14075-2617 | 2010-08-30 |
1154537132 | Liberty Rc Inc | Clinic/Center | 3117 Webster Ave, Fl 1, Bronx, NY 10467-4905 | 2007-05-15 |
1043377922 | Liberty Rc Inc | Clinic/Center | 1515 Jarrett Pl, Bronx, NY 10461-2606 | 2007-01-02 |
1265461487 | Liberty Rc Inc | Clinic/Center | 155 White Plains Rd, Tarrytown, NY 10591-5523 | 2006-07-01 |
1578591152 | Liberty Rc Inc | Clinic/Center | 611 W Hartsdale Ave Fl 1, White Plains, NY 10607-1811 | 2006-06-30 |
1245763804 | Liberty Rc Inc | Clinic/Center | 699 Hertel Ave, Ste 380, Buffalo, NY 14207-2355 | 2017-04-10 |
Street Address |
3020 WESTCHESTER AVE STE 100 |
City | PURCHASE |
State | NY |
Zip Code | 10577-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023014370 | Elliott George Gross | Psychiatry & Neurology | 3020 Westchester Ave, Ste 104, Purchase, NY 10577-2510 | 2005-06-22 |
1124666847 | Jobin John | Physical Therapist | 3020 Westchester Ave, Purchase, NY 10577-2510 | 2019-12-12 |
1548612369 | Gfm Dental Group, Pllc | Dentist | 3020 Westchester Ave, Suite 200, Purchase, NY 10577-2510 | 2016-07-05 |
1568747228 | Francesca Tschorn | Audiologist | 3020 Westchester Ave, Suite 303, Purchase, NY 10577-2510 | 2011-10-13 |
1588969877 | Advanced Anesthesia Associates Pllc | Anesthesiology | 3020 Westchester Ave, Suite 104, Purchase, NY 10577-2510 | 2011-01-18 |
1831491943 | Jennifer Amy Schaeffer | Dietitian, Registered | 3020 Westchester Ave, Purchase, NY 10577-2510 | 2010-11-22 |
1255510913 | Ilana Belle Ressler | Obstetrics & Gynecology | 3020 Westchester Ave, Purchase, NY 10577 | 2007-10-30 |
1588875249 | Sher Institute for Reproductive Medicine Westchester | Obstetrics & Gynecology | 3020 Westchester Ave, 3rd Floor, Purchase, NY 10577-2510 | 2007-05-24 |
1336351519 | Robert R Strome | Ophthalmology | 3020 Westchester Ave, 402, Purchase, NY 10577-2510 | 2007-05-03 |
1053530436 | Sabrina Sijing Shue | Pain Medicine | 3020 Westchester Ave, Suite 104, Purchase, NY 10577-2510 | 2007-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
Find all providers in zip 10577 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.