LIBERTY FAMILY MEDICINE PRACTICE PLLC
NPI 1710414867
Family Medicine in Oneonta, NY

Active since May 19, 2017
460 MAIN ST STE 1, ONEONTA, NY 13820(607) 441-3300(607) 441-3305 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 21, 2017, May 19, 2017 (3 updates tracked since 2017).

About Liberty Family Medicine Practice Pllc NPPES

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

LIBERTY FAMILY MEDICINE PRACTICE PLLC (NPI 1710414867) is a healthcare organization registered as a family medicine in Oneonta, New York and active in the NPI registry since May 2017. The organization lists Godwin Nwannewuihe Njoku, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1710414867
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIBERTY FAMILY MEDICINE PRACTICE PLLC
Location Address460 MAIN ST STE 1Oneonta, NY 13820-2027
Mailing Address460 Main St Ste 1Oneonta, NY 13820-2027 · (607) 441-3300 · Fax (607) 441-3305
Fax(607) 441-3305
Organization SubpartNo
Authorized OfficialGodwin Nwannewuihe NjokuMd/owner · (607) 441-3300
Enumeration DateMay 19, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1710414867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
460 MAIN ST STE 1, Oneonta, NY 13820

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Family Medicine Practice Pllc 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 Family Medicine Practice PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1124274386
460 MAIN ST SUITE 1
Oneonta, NY 13820
(607) 441-3300
✔ 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.

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 Family Medicine Practice PLLC's NPI number?

The NPI number for Liberty Family Medicine Practice PLLC is 1710414867. It was assigned to this organization in the NPPES registry on May 19, 2017.

Where is Liberty Family Medicine Practice PLLC located?

Liberty Family Medicine Practice PLLC is located at 460 Main St Ste 1, Oneonta, NY 13820. The listed phone number is (607) 441-3300.

What is Liberty Family Medicine Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Liberty Family Medicine Practice PLLC enrolled in Medicare?

Yes. Liberty Family Medicine Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Family Medicine Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Liberty Family Medicine Practice PLLC. 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 Family Medicine Practice PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.