Heather K Livezey, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MB09237900 Issued in NJ

Practice address

1515 Broad St
Bloomfield, NJ 07003-3002

Phone

(973) 873-7000

Fax

(973) 743-8943

NPI assigned

Feb 8, 2006

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA, NJ, FL3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Campus Eye Group ASC Inc

  dba Surgicenter Anesthesia Associates

  • Ambulatory Surgical Clinic/Center
  • Hamilton Square, NJ
  • NPI 1164404638
  Medicare reassignment NPD
• New Jersey Anesthesia Services LLC

  • Anesthesiology Physician
  • Cranford, NJ
  • NPI 1689337826
  Medicare reassignment NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Brick, NJ
  • NPI 1548433048
  Medicare reassignment NPD
• Anesthesia Advantage PC

  • Anesthesiology Physician
  • Southampton, PA
  • NPI 1649360041

  NJ

  Medicare reassignment NPD
• Methodist Associates in Healthcare, Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053355131
  Medicare reassignment NPD
• Omnj Division Three LLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1780498196

  NJ

  Medicare reassignment NPD
• Orlando Anesthesia Consultants PA

  • Anesthesiology Physician
  • Ocoee, FL
  • NPI 1184661696
  Medicare reassignment NPD
• Campus Eye Group ASC, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Hamilton SQ, NJ
  • NPI 1134101256
  NPD
• Campus Eye Group, LLC

  • Optometrist
  • Hamilton Square, NJ
  • NPI 1447232913
  NPD
• Campus Eye Group, LLC

  dba Anesthesia Associates

  • Optometrist
  • Hamilton Square, NJ
  • NPI 1891432878

  Anesthesiology

  NPD
• Methodist Associates in Healthcare, Inc

  dba Methodist Anesthesia Practice

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1396731188
  NPD
• Methodist Associates in Healthcare, Inc

  dba Jefferson Community Physicians - Neurosurgery

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1790390813
  NPD

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1275506685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033002",
            "telephone_number": "973-873-7000",
            "fax_number": "973-743-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVEZEY",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "224300",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS012720",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB09237900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ASSOC HEALTH PLANS",
            "identifier": "478782",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107805",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "966836",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "AA45658",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "J29387",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Suela Lita
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• Samantha Jo Lockhart, M.A, BCBA
• Logos Christian Counseling, Inc. (Logos Christian Counseling)
• Robert Anthony Lohse, FNP-BC
• Salvatore A Lombardo, MD
• Alexis Long

• Anesthesiology Physician in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.