LIBERTY PRIMARY CARE LLC
NPI 1699262295
Internal Medicine in Toms River, NJ

Active since April 18, 2018CLIA 31D0974733 · Waiver
1749 HOOPER AVE STE 203, TOMS RIVER, NJ 08753(732) 864-7030(732) 864-7032 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Liberty Primary Care Llc NPPES

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

LIBERTY PRIMARY CARE LLC (NPI 1699262295) is a healthcare organization registered as an internal medicine in Toms River, New Jersey and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Vinodrai Ghetiya, Owner, as its authorized official.

NPPES Registry Identity

NPI1699262295
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIBERTY PRIMARY CARE LLC
Location Address1749 HOOPER AVE STE 203Toms River, NJ 08753-8130
Mailing Address1749 Hooper Ave Ste 203Toms River, NJ 08753-8130 · (732) 864-7030 · Fax (732) 864-7032
Fax(732) 864-7032
Organization SubpartNo
Authorized OfficialVinodrai GhetiyaOwner · (732) 864-7030
Enumeration DateApril 18, 2018
✔ NPI 1699262295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1749 HOOPER AVE STE 203, Toms River, NJ 08753

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Liberty Primary Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1124409057
1749 HOOPER AVE STE 203
Toms River, NJ 08753
(732) 864-7030
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568410249
1749 HOOPER AVE SUITE 203
Toms River, NJ 08753
(732) 864-7030
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0974733

Liberty Primary Care, LLC · Toms River, NJ
Active · expires Jun 14, 2028
CLIA Number31D0974733
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorVinodrai V. Ghetiya
Laboratory Phone(732) 864-7030
Laboratory LocationLiberty Primary Care, LLC1749 Hooper Ave Suite 203, Toms River, NJ 08753
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Primary Care LLC's NPI number?

The NPI number for Liberty Primary Care LLC is 1699262295. It was assigned to this organization in the NPPES registry on April 18, 2018.

Where is Liberty Primary Care LLC located?

Liberty Primary Care LLC is located at 1749 Hooper Ave Ste 203, Toms River, NJ 08753. The listed phone number is (732) 864-7030.

What is Liberty Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Liberty Primary Care LLC enrolled in Medicare?

Yes. Liberty Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Liberty Primary Care 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Liberty Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0974733) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Primary Care LLC was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.