Active NPI
Larisa N Likver, MD
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
National Provider Identifier
1366437790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 216637
- Practice address
- 8419 Bay Pkwy
Brooklyn, NY 11214-3303 - Phone
- (718) 259-0199
- Fax
- (718) 256-0109
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 216637 | NY | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | MA070167 | NJ |
Addresses
Primary practice location
8419 Bay Pkwy
Brooklyn, NY 11214-3303
Mailing address
181 Coleridge St
Brooklyn, NY 11235-4130
Phone (718) 259-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02077278 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040311000491 | NY | Practitioner - Physical Medicine and Rehabilitation | 2062309727 | Practice locations: New York, NY; Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA070167 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citywide Family Practice Medical, P.C. | Past | Accepting new patients | |
| Bayside Medical Office PC | Past | Accepting new patients | |
| University Physicians Group P C | Past | Accepting new patients | |
| Well Plus Medical PC | Past | Accepting new patients | |
| N.Z.S. Medical PC | Past | Accepting new patients | |
| Brokhin Medical, PC | Past | Accepting new patients |
Interoperability endpoints
- drlikver@drlikvermd.directmedgenehr.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1326343013
-
- Endocrinology, Diabetes & Metabolism Physician
- Brooklyn, NY
- NPI 1770816746
-
- Family Medicine Physician
- Rockaway Beach, NY
- NPI 1821297458
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1548209471
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1043250491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1366437790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 COLERIDGE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112354130",
"telephone_number": "718-259-0199",
"fax_number": "718-256-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8419 BAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112143303",
"telephone_number": "718-259-0199",
"fax_number": "718-256-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIKVER",
"first_name": "LARISA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "216637",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "MA070167",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02077278",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.