MEDICARE: LIBERTY SURGICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2086S0127X	Trauma Surgery Physician
2	208C00000X	Colon & Rectal Surgery Physician
3	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689606956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBERTY SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	355 GRAND STREET
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4321
Country	:	US
Telephone Number	:	201-915-2450
Fax Number	:	201-915-2192

Provider Business Practice Location Address
First Line	:	377 JERSEY AVENUE
Second Line	:	SUITE 220
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4396
Country	:	US
Telephone Number	:	201-309-2380
Fax Number	:	201-309-2381

Authorized Official
Title or Position	:	CORPORATE DIRECTOR, PHYSICIAN SERVI
Name	:	HELEN M KENNEDY
Credential	:
Telephone Number	:	201-521-5934

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/27/2012

Similar Medicare Providers

1093211922 — ANNE DE ROSAIRO MD
Practice Location Address:

377 JERSEY AVE STE 220
JERSEY CITY, NJ
07302-4396

Practice Phone: 201-915-2380
Practice Fax: 201-915-2381

1558580936 — DR. VANESSA ESCOBAR-BARBOZA MD
Practice Location Address:

377 JERSEY AVE STE 220
JERSEY CITY, NJ
07302-4396

Practice Phone: 201-915-2380
Practice Fax: 551-310-6730

1932334224 — LIBERTY WOMEN OB/GYN PC
Practice Location Address:

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

Practice Phone: 201-763-6763
Practice Fax: 201-763-6774

1730470865 — LORA LIU
Practice Location Address:

377 JERSEY AVE STE 220
JERSEY CITY, NJ
07302-4396

Practice Phone: 212-381-0796
Practice Fax: 646-248-5182

1578839874 — DR. SEAN HERMAN MD
Practice Location Address:

377 JERSEY AVE STE 220
JERSEY CITY, NJ
07302-4396

Practice Phone: 732-741-0970
Practice Fax:

1134302482 — SETLIFF SINUS CLINIC
Practice Location Address:

1136 JACKSON BLVD , STE # 2
RAPID CITY, SD
57702-4396

Practice Phone: 605-348-9714
Practice Fax:

Directions to “LIBERTY SURGICAL ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.