LIBERTY MEDICAL ASSOCIATES, LLC
NPI 1659125185
Clinic/Center - Primary Care in Orange, NJ

Active since April 12, 2024
506 CENTRAL AVE, ORANGE, NJ 07050(201) 218-8422 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Liberty Medical Associates, Llc NPPES

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

LIBERTY MEDICAL ASSOCIATES, LLC (NPI 1659125185) is a healthcare organization registered as a primary care in Orange, New Jersey and active in the NPI registry since April 2024. The organization lists Tariq Mahmood, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1659125185
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIBERTY MEDICAL ASSOCIATES, LLC
Location Address506 CENTRAL AVEOrange, NJ 07050-1432
Mailing Address146 Brewster AvePiscataway, NJ 08854-2229 · (201) 218-8422
Organization SubpartNo
Authorized OfficialTariq MahmoodChief Executive Officer · (201) 218-8422
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1659125185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
506 CENTRAL AVE, Orange, NJ 07050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Medical Associates, Llc 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 Liberty Medical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1619386414
203 ACADEMY ST 207
Jersey City, NJ 07306
(201) 218-8422
✔ PECOS✔ Accepts Medicare9.8 mi

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 Liberty Medical Associates, LLC's NPI number?

The NPI number for Liberty Medical Associates, LLC is 1659125185. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Liberty Medical Associates, LLC located?

Liberty Medical Associates, LLC is located at 506 Central Ave, Orange, NJ 07050. The listed phone number is (201) 218-8422.

What is Liberty Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Liberty Medical Associates, LLC enrolled in Medicare?

Yes. Liberty Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Liberty Medical Associates, LLC. 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 Liberty Medical Associates, LLC was last updated on April 12, 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.