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LIBERTY PEDIATRICS PC
NPI 1154408300
Pediatrics in Ferndale, NY

Active since November 01, 2006
39 OLD MONTICELLO RD, CATSKILL PROF PLAZA, FERNDALE, NY 12754(845) 292-6684(845) 292-6770 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Pediatrics Pc NPPES

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

LIBERTY PEDIATRICS PC (NPI 1154408300) is a healthcare organization registered as a pediatrics in Ferndale, New York and active in the NPI registry since November 2006. The organization lists Darshan G Trivedi, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1154408300
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIBERTY PEDIATRICS PC
Location Address39 OLD MONTICELLO RD, CATSKILL PROF PLAZAFerndale, NY 12754
Mailing Address39 Old Monticello RdFerndale, NY 12754 · (845) 292-6684 · Fax (845) 292-6770
Phone(845) 292-6684
Fax(845) 292-6770
Organization SubpartNo
Authorized OfficialDarshan G TrivediPhysician Owner · (845) 292-6684
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154408300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · NY178764
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
39 OLD MONTICELLO RD, Ferndale, NY 12754
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Other Identifiers 1

Medicaid01131213NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Pediatrics PC's NPI number?

The NPI number for Liberty Pediatrics PC is 1154408300. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Liberty Pediatrics PC located?

Liberty Pediatrics PC is located at 39 Old Monticello Rd Catskill Prof Plaza, Ferndale, NY 12754. The listed phone number is (845) 292-6684.

What is Liberty Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Liberty Pediatrics PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.