LIBERTY PHYSICIAN PARTNERS PC
NPI 1114745635
Clinic/Center in New Rochelle, NY

Active since October 02, 2024
175 MEMORIAL HWY STE 1-1, NEW ROCHELLE, NY 10801(914) 460-4891 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2025, Oct 2, 2024 (2 updates tracked since 2024).

About Liberty Physician Partners Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY PHYSICIAN PARTNERS PC (NPI 1114745635) is a healthcare organization registered as a clinic/center in New Rochelle, New York and active in the NPI registry since October 2024. The organization lists Ilya Parizh, Physician, as its authorized official.

NPPES Registry Identity

NPI1114745635
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLIBERTY PHYSICIAN PARTNERS PC
Location Address175 MEMORIAL HWY STE 1-1New Rochelle, NY 10801-5639
Mailing Address25 Savin CtStaten Island, NY 10304-4215 · (646) 898-6734
Organization SubpartNo
Authorized OfficialIlya ParizhPhysician · (914) 460-4891
Enumeration DateOctober 2, 2024
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1114745635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
175 MEMORIAL HWY STE 1-1, New Rochelle, NY 10801

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Physician Partners Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Liberty Physician Partners PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

General Practice
NPI 1619361995
154 STATE ROUTE 10
East Hanover, NJ 07936
(973) 920-3090
✔ PECOS✔ Accepts Medicare32 mi
General Practice
NPI 1336521178
707 E MAIN ST
Middletown, NY 10940
(845) 333-1138
✔ PECOS✔ Accepts Medicare47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Physician Partners PC's NPI number?

The NPI number for Liberty Physician Partners PC is 1114745635. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Liberty Physician Partners PC located?

Liberty Physician Partners PC is located at 175 Memorial Hwy Ste 1-1, New Rochelle, NY 10801. The listed phone number is (914) 460-4891.

What is Liberty Physician Partners PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Liberty Physician Partners PC enrolled in Medicare?

Yes. Liberty Physician Partners PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Physician Partners PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Practice, reassign their Medicare billing to Liberty Physician Partners PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Liberty Physician Partners PC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.