LIBERTY RC INC (NPI# 1245763804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245763804 |
| Entity Type | Organization |
| Organization Name | LIBERTY RC INC |
| Other Organization Name | HERTEL AVENUE DIALYSIS |
| Practice Address |
699 Hertel Ave Ste 380 Buffalo NY 14207-2355 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7168714172 |
| Practice Fax Number | 7164470230 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| NY | 04945837 | 05 |
| Other Name | Type Code |
|---|---|
| Hertel Avenue Dialysis | 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 |
| 1326498205 | Liberty Rc Inc | Clinic/Center | 1940 Webster Ave, 2nd Floor, Bronx, NY 10457-4261 | 2016-06-21 |
| Street Address |
699 HERTEL AVE STE 380 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039387 | Kirsten A Anderson | Social Worker | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2006-07-05 |
| 1447865761 | Jameelah Masaed | Counselor | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2020-09-14 |
| 1932745544 | Holly Rexford Maloney | Registered Nurse | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2019-11-19 |
| 1669889762 | Chelsea Kendra | Nurse Practitioner | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2014-07-21 |
| 1659710333 | Gregory Arthur Fabiano | Psychologist | 699 Hertel Ave, Suite 355, Buffalo, NY 14207-2341 | 2013-06-17 |
| 1366724163 | Lindsay Meagher | Social Worker | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2011-09-16 |
| 1275814410 | Michael David Spin | Social Worker | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2011-09-01 |
| 1427352673 | Amanda Lee Madding | Social Worker | 699 Hertel Ave, Suite 350, Buffalo, NY 14207-2341 | 2011-01-03 |
| 1699089961 | Azizah Tahira Smith | Counselor | 699 Hertel Ave, Suite 350, Buffalo, NY 14207-2341 | 2010-07-29 |
| 1336450063 | Krystina Geschwender | Counselor | 699 Hertel Ave, Buffalo, NY 14207-2341 | 2010-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639609787 | Knickerbocker Dialysis Inc | Clinic/Center | 520 Ellicott St, Ste 100, Buffalo, NY 14203-1517 | 2017-06-12 |
| 1437470614 | New York Dialysis Services, Inc. | Clinic/Center | 237 Linwood Ave., Buffalo, NY 14209-2009 | 2010-06-22 |
| 1164537908 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 104 Marty Dr, #2, Buffalo, MN 55313-9308 | 2006-08-20 |
| 1639395148 | Western New York Artificial Kidney Center Inc | Clinic/Center | 237 Linwood Ave, Buffalo, NY 14209-2009 | 2007-04-17 |
| 1861526063 | Kaleida Health | Clinic/Center | 100 High St, Buffalo, NY 14203-1126 | 2007-03-16 |
| 1689708885 | Kaleida Health | Clinic/Center | 818 Ellicott St, Buffalo, NY 14203-1021 | 2007-03-16 |
| 1508948050 | Western New York Dc, LLC | Clinic/Center | 3 Gates Cir, Buffalo, NY 14209-1120 | 2006-10-20 |
| 1104855311 | Liberty Rc Inc | Clinic/Center | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2006-07-01 |
| 1437197985 | Erie County Medical Center Corporation | Clinic/Center | 462 Grider St, Buffalo, NY 14215-3021 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 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 | ||||
Please comment or provide details below to improve the information on LIBERTY RC INC.
| 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.