Healthcare Provider Details

I. General information

NPI: 1932334224
Provider Name (Legal Business Name): LIBERTY WOMEN OB/GYN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 JERSEY AVENUE SUITE 250
JERSEY CITY NJ
07302-4396
US

IV. Provider business mailing address

377 JERSEY AVE STE 250
JERSEY CITY NJ
07302-4396
US

V. Phone/Fax

Practice location:
  • Phone: 201-763-6763
  • Fax: 201-763-6774
Mailing address:
  • Phone: 201-763-6763
  • Fax: 201-763-6774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMED S. YOUSRY
Title or Position: PRESIDENT
Credential: M.D., FACOG
Phone: 201-763-6763