JOHN LIBERTELLA D.P.M.
NPI 1558453779
Podiatrist in Brooklyn, NY

Q: What is John Libertella's NPI number?

The NPI number for John Libertella is 1558453779. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is John Libertella's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for John Libertella was last updated on October 24, 2023. 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.

Active since September 28, 2006PECOS Enrolled

9414 FLATLANDS AVE, STE 201 E, BROOKLYN, NY 11236(718) 649-6464(718) 649-6426 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Libertella D.p.m. NPPES

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

JOHN LIBERTELLA D.P.M. (NPI 1558453779) is an individual podiatrist in Brooklyn, New York, licensed in New York (N005640) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558453779

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameJOHN LIBERTELLACredential: D.P.M.

Location Address9414 FLATLANDS AVE, STE 201 EBrooklyn, NY 11236-3741

Mailing Address8419 Bay PkwyBrooklyn, NY 11214-3303 · (718) 331-0200 · Fax (718) 331-0893

Phone(718) 649-6464

Fax(718) 649-6426

Sole ProprietorYes

Enumeration DateSeptember 28, 2006

Last NPPES UpdateOctober 24, 2023

NPPES CertifiedOctober 23, 2023

✔ NPI 1558453779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in NY · N005640

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

9414 FLATLANDS AVE, Brooklyn, NY 11236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Libertella D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Libertella's NPI number?

The NPI number for John Libertella is 1558453779. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is John Libertella located?

John Libertella practices at 9414 Flatlands Ave Ste 201 E, Brooklyn, NY 11236. The listed phone number is (718) 649-6464.

What is John Libertella's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is John Libertella enrolled in Medicare?

Yes. John Libertella is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Libertella was last updated on October 24, 2023. 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.