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LIFECARE MEDICAL OFFICE, PC
NPI 1124545751
Internal Medicine in Arverne, NY

Active since August 24, 2017
6514 BEACH FRONT RD, ARVERNE, NY 11692(646) 382-7742(646) 417-5002 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About Lifecare Medical Office, Pc NPPES

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

LIFECARE MEDICAL OFFICE, PC (NPI 1124545751) is a healthcare organization registered as an internal medicine in Arverne, New York and active in the NPI registry since August 2017. The organization lists Jolanta J Libura, Owner, as its authorized official.

NPPES Registry Identity

NPI1124545751
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFECARE MEDICAL OFFICE, PC
Location Address6514 BEACH FRONT RDArverne, NY 11692-1293
Mailing Address6514 Beach Front RdArverne, NY 11692-1293 · (646) 382-7742 · Fax (646) 417-5002
Phone(646) 382-7742
Fax(646) 417-5002
Organization SubpartNo
Authorized OfficialJolanta J LiburaOwner · (646) 382-7742
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1124545751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedNutritionistTaxonomy 133N00000X
6514 BEACH FRONT RD, Arverne, NY 11692
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifecare Medical Office, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifecare Medical Office, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jolanta Libura, MD, PHD
Internal Medicine
NPI 1205190535
6514 BEACH FRONT RD
Arverne, NY 11692
(646) 382-7742
✔ PECOSSame address

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 Lifecare Medical Office, PC's NPI number?

The NPI number for Lifecare Medical Office, PC is 1124545751. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Lifecare Medical Office, PC located?

Lifecare Medical Office, PC is located at 6514 Beach Front Rd, Arverne, NY 11692. The listed phone number is (646) 382-7742.

What is Lifecare Medical Office, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lifecare Medical Office, PC enrolled in Medicare?

Yes. Lifecare Medical Office, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifecare Medical Office, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lifecare Medical Office, 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 Lifecare Medical Office, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.