Individual provider Active NPI

Douglas Francis Liva, MD

  • Ophthalmology Physician
  • Paramus, NJ
National Provider Identifier
1255447371
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA040964 Issued in NJ
Practice address
1 West Ridgewood Avenue
Suite 101
Paramus, NJ 07652
Phone
(201) 444-7770
Fax
(201) 445-2570
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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 MA040964 NJ Primary

Addresses

Primary practice location

1 West Ridgewood Avenue
Suite 101
Paramus, NJ 07652

Mailing address

625 Franklin Tpke
Suite 101
Ridgewood, NJ 07450-1913
Phone (201) 444-7770

Other identifiers 1

IdentifierTypeStateIssuer
SBQ452359OtherPROV #

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
I20040324000023 NJ Practitioner - Ophthalmology 9830084003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liva Eye Center LLCGroup PAC ID 4587559844, 3 clinicians

Practice addresses (Care Compare)

625 Franklin Tpke
Ridgewood, NJ 07450-1913

Merit-based Incentive Payment System (MIPS)

Final score
24.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA040964NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liva Eye Center LLC Ophthalmology CurrentSince Dec 10, 2003 Accepting new patients
American Surgical Center of West Orange LLC PastSince Sep 26, 2003 Accepting new patients

Locations

1 W Ridgewood Ave
Ste 101
Paramus, NJ 07652
Phone (201) 444-7770

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

625 Franklin Tpke
Ridgewood, NJ 07450
Phone (201) 444-1441

625 Franklin Tpke
Ste 101
Ridgewood, NJ 07450

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1255447371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FRANKLIN TPKE",
            "address_2": "SUITE 101",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074501913",
            "telephone_number": "201-444-7770",
            "fax_number": "201-445-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST RIDGEWOOD AVENUE",
            "address_2": "SUITE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-444-7770",
            "fax_number": "201-445-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVA",
        "first_name": "DOUGLAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA040964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV #",
            "identifier": "SBQ452359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.