LIBERTY MED ASSOCIATES LLC (NPI# 1366983033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366983033 |
| Entity Type | Organization |
| Organization Name | LIBERTY MED ASSOCIATES LLC |
| Other Organization Name | MID- ATLANTIC MEDICAL ASSOCIATES LLC |
| Practice Address |
999 Palmer Ave Ste 1 Holmdel NJ 07733 |
| Mailing Address |
66 W Gilbert St Suite 100 Tinton Falls NJ 07701-4947 |
| Practice Telephone | 7322673313 |
| Mailing Telephone | 7322120060 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | JOSEPH JOHN CALABRO (CEO) |
| Authorized Official Telephone | 7322120051 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | LIBERTY MED ASSOCIATES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mid- Atlantic Medical Associates LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1131 Broad St Ste 103, Shrewsbury, NJ 077024334 | 7323892500 | |
| 200 Perrine Rd Ste 209, Old Bridge, NJ 088572836 | 7328658090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279552 | Liberty Med Associates LLC | Podiatrist | 1 Bethany Rd Ste 21, Hazlet, NJ 07730-1660 | 2020-03-09 |
| Street Address |
999 PALMER AVE STE 1 |
| City | HOLMDEL |
| State | NJ |
| Zip Code | 07733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851927628 | Kathleen Knauf | Physical Medicine & Rehabilitation | 2080 Nj 35 #1, Holmdel, NJ 07733 | 2020-03-12 |
| 1396370516 | Alexandra Julia Ali | Specialist/Technologist | 2080 State Route 35, Holmdel, NJ 07733 | 2020-03-09 |
| 1942862248 | Niki Mirzaei | Optometrist | 2101 Nj-35, Holmdel, NJ 07733 | 2019-07-08 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1487188686 | Smile Works Dental Center Pa. | Dentist | 101 Crawford Corner Road In Bellworks Building, Suite 1109, Holmdel, NJ 07733 | 2017-04-13 |
| 1699214072 | Candace Stefflre | Massage Therapist | 14-b Plum Lane, Holmdel, NJ 07733 | 2017-02-17 |
| 1326411604 | Catherine Aurelie Hoch | Clinical Nurse Specialist | 727 N. Beers St, Holmdel, NJ 07733 | 2015-11-09 |
| 1174905228 | Lindsey Kirdahy | Counselor | 797 North Beers St, Holmdel, NJ 07733 | 2015-06-25 |
| 1245592971 | Jenifer Paulino | Early Intervention Provider Agency | 262 South Holland Road, Holmdel, NJ 07733 | 2012-06-08 |
| 1336458033 | Rachel Emma Pickworth | Dentist | 721 N Beers St Ste 2a, Holmdel, NJ 07733 | 2010-09-28 |
| Find all providers in zip 07733 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901001 | Monmouth Physician Services LLC | Internal Medicine | 3 Exeter Way, Holmdel, NJ 07733-2294 | 2019-09-16 |
| 1194258012 | Rafay Tariq Khan | Internal Medicine | 11 Hop Brook Ln, Holmdel, NJ 07733-2143 | 2017-04-07 |
| 1306167028 | Frederic H Goldstein | Internal Medicine | 116 Northampton Dr, Holmdel, NJ 07733-1151 | 2010-06-16 |
| 1023285541 | Anne Ruston Pearl | Internal Medicine | 22 Highpoint Rd, Holmdel, NJ 07733-1676 | 2008-05-14 |
| 1992977706 | Holmdel Cardiology & Internal Medicine Assoc Pa | Internal Medicine | 733 N Beens St, Suite L2, Holmdel, NJ 07733-1513 | 2008-04-01 |
| 1174709042 | Anant S. Kubal Md Pa | Internal Medicine | 668 N Beers St Ste 100, Holmdel, NJ 07733-1511 | 2008-01-10 |
| 1164620001 | Katie Elizabeth Kunamneni | Internal Medicine | 735 N Beers St, Holmdel, NJ 07733-1515 | 2007-07-03 |
| 1124041157 | Yong Choo | Internal Medicine | 719 N Beers Street, Ste 2g, Holmdel, NJ 07733 | 2006-07-25 |
| 1740253871 | Gaetano J Aquilino | Internal Medicine | 719 North Beers Street, Suites 2e and 2f, Holmdel, NJ 07733 | 2006-02-09 |
| 1710958244 | Central Jersey Pulmonary & Medical Associates, LLC | Internal Medicine | 719 N Beers St, Suites 2e & 2f, Holmdel, NJ 07733 | 2006-02-01 |
| Find all providers in HOLMDEL | ||||
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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.