Ilyssa Liberto
Physician Assistant, Medical in Ridley Park, Pennsylvania
1437933298- Practice location
- 1 Bartol Ave Ste 100, Ridley Park, PA 19078-2214
- Phone
- 610-521-9996
- Fax
- —
- Last updated
- April 16, 2024
Ilyssa Liberto is a Physician Assistant, Medical based in Ridley Park, PA. Ilyssa Liberto practices in Ridley Park, PA. The NPI Number for Ilyssa Liberto is 1437933298. The current practice location address for Ilyssa Liberto is 1 Bartol Ave Ste 100, Ridley Park, PA 19078-2214 and can be reached out via phone at 610-521-9996.
Provider Profile Details
- NPI Number
- 1437933298
- Provider Name
- Ilyssa Liberto
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bartol Ave Ste 100, Ridley Park, PA 19078-2214
- Phone Number
- 610-521-9996
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2023
- Last Update Date
- April 16, 2024
- Certification Date
- April 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bartol Ave Ste 100
Ridley Park, PA 19078-2214 - City
- Ridley Park
- State
- Pennsylvania
- Zip
- 19078-2214
- Phone Number
- 610-521-9996
Provider Business Mailing Address Details
- Address
- Po Box 34990
Belfast, ME 04915-0627 - City
- Belfast
- State
- ME
- Zip
- 04915-0627
- Phone Number
- 610-359-5672
License Information
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Ridley Park, PA
View all Physician Assistant, Medical providers in Ridley Park →Frequently Asked Questions
What is the NPI number of Ilyssa Liberto?
The NPI number of Ilyssa Liberto is 1437933298. It was assigned on August 22, 2023 and is currently active in the NPPES registry.
What is the specialty of Ilyssa Liberto?
Ilyssa Liberto is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Ilyssa Liberto practice?
The practice location is 1 Bartol Ave Ste 100, Ridley Park, PA 19078-2214. The office can be reached at 610-521-9996 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437933298 directly on the NPPES registry website.