{"npi":"1154537132","type":"NPI-2","status":"active","name":{"display":"Liberty Rc INC","other":[],"organization_name":"LIBERTY RC INC","authorised_official":"John Winstel"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":"NY","license":"1401232R"}]},"addresses":[{"purpose":"LOCATION","street_1":"3117 WEBSTER AVE","city":"BRONX","state":"NY","postal_code":"104674905","country_code":"US","street_2":"FL 1","phone":"7189201530","fax":"7189201520"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"L & C DEPT","phone":"6153416410","fax":"8886628259"}],"license":{"state":"NY","number":"1401232R"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"03060428","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-15","last_updated":"2023-08-03","_meta":{"source":"NPPES","snapshot_date":"2023-08-03","doc_url":"https://findmynpi.com/api"}}