Individual provider Active NPI

Paul A Liva, MD

  • Ophthalmology Physician
  • Hackensack, NJ
National Provider Identifier
1245293877
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA03541600 Issued in NJ
Practice address
391 Summit Ave
Hackensack, NJ 07601-1414
Phone
(201) 342-5191
Fax
(201) 487-0026
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA03541600 NJ Primary

Addresses

Primary practice location

391 Summit Ave
Hackensack, NJ 07601-1414

Mailing address

391 Summit Ave
Hackensack, NJ 07601-1414
Phone (201) 342-5191

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000753 NJ Practitioner - Ophthalmology 3375580483 Reassigns benefits to 1 organization
Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
95.9
Promoting interoperability
100
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03541600NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Oct 1, 2018 Accepting new patients
Hackensack Eye Surgery Center PastSince Jan 1, 1990 Accepting new patients

Locations

391 Summit Ave
#A
Hackensack, NJ 07601

385 Prospect Ave
Ste 300
Hackensack, NJ 07601
Phone (201) 342-5191

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

391 Summit Ave
Hackensack, NJ 07601
Phone (201) 342-5191

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1245293877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "LIVA",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03541600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.