LIBERTY SURGICAL ASSOCIATES (NPI# 1689606956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689606956 |
| Entity Type | Organization |
| Organization Name | LIBERTY SURGICAL ASSOCIATES |
| Practice Address |
377 Jersey Avenue Suite 220 Jersey City NJ 07302-4396 |
| Mailing Address |
355 Grand Street Jersey City NJ 07302-4321 |
| Practice Telephone | 2013092380 |
| Practice Fax Number | 2013092381 |
| Mailing Telephone | 2019152450 |
| Mailing Fax Number | 2019152192 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | HELEN M KENNEDY (CORPORATE DIRECTOR, PHYSICIAN SERVI) |
| Authorized Official Telephone | 2015215934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6603700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912327776 | Liberty Surgical Associates | Specialist/Technologist, Other | 6900 N Dallas Pkwy, Suite 800, Plano, TX 75024-7144 | 2014-04-21 |
| Street Address |
377 JERSEY AVENUE SUITE 220 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689990723 | Lutheran Senior Healthcare | Clinic/Center | 377 Jersey Avenue, Suite 310, Jersey City, NJ 07302 | 2010-04-14 |
| 1518299833 | Pulmonary Sleep Care Associates, LLC | Internal Medicine | 377 Jersey Avenue, Suite 470, Jersey City, NJ 07302 | 2010-02-11 |
| 1932334224 | Liberty Women Ob/gyn PC | Clinic/Center | 377 Jersey Avenue, Suite 250, Jersey City, NJ 07302-4396 | 2009-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1386940765 | Abimbola B Pratt | Surgery | 55 Bright St, Apt 3, Jersey City, NJ 07302-4348 | 2011-02-02 |
| 1780756999 | Jordan M Garrison | Surgery | 17 Nardone Pl, Jersey City, NJ 07306-3514 | 2006-11-14 |
| 1750460119 | P.d.gor Md Pa. | Surgery | 149 Palisade Avenue, P.d.gor Md Pa, Jersey City, NJ 07306 | 2006-11-03 |
| 1063592285 | Joseph Francis Popovich | Surgery | 159 Palisade Ave, Jersey City, NJ 07306-1113 | 2006-10-16 |
| 1326026899 | Pradip D Gor | Surgery | 149 Palisade Ave, Jersey City, NJ 07306-1113 | 2006-01-05 |
| 1962403147 | Ronald Sultan | Surgery | 2255 Kennedy Blvd, Jersey City, NJ 07304-1428 | 2005-08-10 |
| 1376815043 | Hudson Surgeons Pa | Surgery | 142 Palisade Ave, Doctors Office Bldg. Suite 108, Jersey City, NJ 07306-1133 | 2012-01-27 |
| 1639316268 | Nicola A. Vernese M.d., PC | Surgery | 2954 Kennedy Blvd, Jersey City, NJ 07306-3897 | 2009-01-20 |
| 1295928737 | Sherwin Schrag | Surgery | 355 Grand Street, Jersey City, NJ 07302 | 2007-08-18 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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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.