Liliya Serada

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00889300 Issued in NJ

Practice address

24 Beech St
Maywood, NJ 07607-1821

Phone

(201) 887-6515

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Restwell Health NJ PCGroup PAC ID 2163936485, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restwell Health NJ PC

  • Internal Medicine Physician
  • Woodmere, NY
  • NPI 1780408922

  NJ

  Medicare reassignment Care Compare group NPD
• Geriatrics and Internal Medicine Associates of Northeast LLC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1952769960
  Medicare reassignment NPD
• Windsor Advanced Practice Nursing PC

  • Adult Health Nurse Practitioner
  • Norwood, NJ
  • NPI 1033595897
  Medicare reassignment NPD

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1104384619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BEECH ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071821",
            "telephone_number": "201-887-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BEECH ST",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071821",
            "telephone_number": "201-887-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERADA",
        "first_name": "LILIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00889300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Jay Saphier, M.D., MPH
• Catherine Sarmiento
• Randi A Sarokoff, PH.D., BCBA-D
• SBP Chiropractic PC
• Isa Schwarzberg, DPM
• Heinny Severini, APN
• Chirag Shah, MD
• Mini Sharma, PSYD
• Charles M Shiel, OD
• Andrew L Siegel, MD

• Nurse Practitioner in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.