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ILYSSA LIBERTO
NPI 1437933298
Physician Assistant - Medical in Ridley Park, PA

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment
1 BARTOL AVE STE 100, RIDLEY PARK, PA 19078(610) 521-9996 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Aug 22, 2023 (2 updates tracked since 2023).

About Ilyssa Liberto NPPES

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

ILYSSA LIBERTO (NPI 1437933298) is an individual medical provider in Ridley Park, Pennsylvania and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437933298
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameILYSSA LIBERTO
Location Address1 BARTOL AVE STE 100Ridley Park, PA 19078-2214
Mailing AddressPo Box 34990Belfast, ME 04915-0627 · (610) 359-5672
Phone(610) 521-9996
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 22, 2023
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1437933298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
1 BARTOL AVE STE 100, Ridley Park, PA 19078
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Secondary Practice Locations 2

Location 1200 Harris DrSewell, NJ 08080-9458 · Phone (856) 723-9556
Location 21200 Old York RdAbington, PA 19001-3720 · Phone (215) 481-2600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilyssa Liberto is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608224779
PECOS Enrollment IDI20231129003925
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY KAY AYRE
Physician Assistant (Medical)
1 BARTOL AVE STE 100
RIDLEY PARK, PA 19078
Delaware County (610) 521-8970
MEGAN A NEARING PA-C
Physician Assistant
1 BARTOL AVE STE 100
RIDLEY PARK, PA 19078
Delaware County (610) 521-8970

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 Ilyssa Liberto's NPI number?

The NPI number for Ilyssa Liberto is 1437933298. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Ilyssa Liberto located?

Ilyssa Liberto practices at 1 Bartol Ave Ste 100, Ridley Park, PA 19078. The listed phone number is (610) 521-9996.

What is Ilyssa Liberto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ilyssa Liberto enrolled in Medicare?

Yes. Ilyssa Liberto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ilyssa Liberto was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.