Individual provider Active NPI

Larisa N Likver, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1366437790
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
216637 Issued in NY
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

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02077278MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA070167NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Aug 1, 2008 Accepting new patients
N.Z.S. Medical PC Past Accepting new patients
Brokhin Medical, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.