Active NPI
Daniel Livshin, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1245099894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 716368
- Practice address
- 600 E 125TH St
New York, NY 10035-6000 - Phone
- (646) 766-3895
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 716368 | NY | Primary |
Addresses
Primary practice location
600 E 125TH St
New York, NY 10035-6000
Mailing address
7306 Skyline Dr
Fort Lee, NJ 07024-2221
Phone (954) 257-8622
Other practice location 1
102 Rivers Edge Rd
New York, NY 10035-1163
Phone (646) 766-3895 ext. 3895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 716368 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1245099894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7306 SKYLINE DR",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242221",
"telephone_number": "954-257-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100356000",
"telephone_number": "646-766-3895"
}
],
"practiceLocations": [
{
"address_1": "102 Rivers Edge Rd",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100351163",
"country_code": "US",
"telephone_number": "646-766-3895 x3895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVSHIN",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "716368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.