Livingston Vitreo Retinal Associates, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA05282200 Issued in NJ

Legal business name

LIVINGSTON VITREO RETINAL ASSOCIATES, PA

Practice address

349 E Northfield Rd
Suite 100
Livingston, NJ 07039-4802

Phone

(973) 716-0123

Fax

(973) 716-0441

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Sayles

Title

Practice Administrator

Phone

(973) 716-0123

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Retina Vitreous Consultants Doing business as

Locations

Practitioners 3

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

• Robert Alan Braunstein, M.D.

  • Ophthalmology Physician
  • Morristown, NJ
  • NPI 1891716262
  NPD
• Eric David Kanter, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Livingston, NJ
  • NPI 1558365411
  NPD
• Tian Xia, MD

  • Retina Specialist (Ophthalmology) Physician
  • Livingston, NJ
  • NPI 1023402260
  NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1154485464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 100",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-716-0123",
            "fax_number": "973-716-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 100",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-716-0123",
            "fax_number": "973-716-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Madison Ave Ste A03",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607365",
            "country_code": "US",
            "telephone_number": "973-605-1114",
            "fax_number": "973-605-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVINGSTON VITREO RETINAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "SAYLES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-716-0123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05282200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. XIA'S MCR NUMBER",
            "identifier": "804900",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033789",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Vitreous Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retina Vitreous Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Darria Marcella Lloyd, NP
• Kedisha Patrice Lloyd, APN
• Rita Loew, OT

• Ophthalmology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.