Hackensack Eye Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03541600 Issued in NJ

Legal business name

HACKENSACK EYE SURGERY CENTER

Practice address

391 Summit Ave
Hackensack, NJ 07601-1414

Phone

(201) 342-5191

Fax

(201) 487-0026

NPI assigned

Oct 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul A. Liva, M.D.NPI 1245293877

Title

Ophthalmology Doctor

Phone

(201) 342-5191

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Liva, MD

  • Ophthalmology Physician
  • Hackensack, NJ
  • NPI 1245293877
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1083949622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SUMMIT AVENUE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-342-5191",
            "fax_number": "201-487-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011414",
            "telephone_number": "201-342-5191",
            "fax_number": "201-487-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "LIVA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPHTHALMOLOGY DOCTOR",
        "authorized_official_telephone_number": "201-342-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03541600",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA008438700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack Center for Foot Surgery Inc
• Hackensack Critical Care & Pulmonary LLC
• Hackensack Digestive Disease Associates, P.a.
• Hackensack Emergency Dental and Implant Center PC
• Hackensack Endoscopy Center, LLC
• Hackensack Eye Surgery Center
• Hackensack Foot and Ankle Center
• Hackensack Heights OB-GYN PC
• Hackensack Hospital
• Hackensack Injury & Wellness Center

• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.