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

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: October 18, 2026.

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 and maintains a secondary practice location in Brooklyn.

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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Secondary Practice Location 1

Location 18419 Bay PkwyBrooklyn, NY 11214-3303 · Phone (718) 331-0200 · Fax (718) 331-0893

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show John Libertella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metropolitan Foot Care PC
Same address
Foot & Ankle Surgery
9413 FLATLANDS AVE, SUITE 201 EAST
Brooklyn, NY 11236
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1952432031 (718) 649-6464

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

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.

Which organization bills Medicare for John Libertella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Libertella reassigns Medicare benefits to Metropolitan Foot Care PC (Brooklyn, NY). The 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 John Libertella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.