Livingston Subspecialty Group, P.a.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MA045092 Issued in NJ

Legal business name

LIVINGSTON SUBSPECIALTY GROUP, P.A.

Practice address

349 E Northfield Rd
Suite 200
Livingston, NJ 07039-4802

Phone

(973) 597-0900

Fax

(973) 597-0910

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Michael Botti

Title

Controller

Phone

(973) 597-1690

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

John D Siegal MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John D. Siegal MD

  • Urology Physician
  • Millburn, NJ
  • NPI 1922040641
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Botti, M.D.

  • Hematology & Oncology Physician
  • Livingston, NJ
  • NPI 1598787640
  Medicare reassignment Care Compare group NPD
• Gigi Diamond, M.D.

  • Infectious Disease Physician
  • Livingston, NJ
  • NPI 1295757359
  Medicare reassignment Care Compare group NPD
• Jennifer Renee Peos, MD

  • Internal Medicine Physician
  • Livingston, NJ
  • NPI 1710986195
  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1437178449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-597-0900",
            "fax_number": "973-597-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 200",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-597-0900",
            "fax_number": "973-597-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON SUBSPECIALTY GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "BOTTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "973-597-1690"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA045092",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA045093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3457109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Livingston Pathology Associates, LLC
• Livingston Periodontal Associates, LLC
• Livingston Post Acute Operator LLC
• Livingston Psychotherapy Associates LLC
• Livingston Short Hills Dental Associates
• Livingston Vitreo Retinal Associates, PA
• Lloyd Seymour Health Services, LLC
• Lloyd Seymour Medical
• Darria Marcella Lloyd, NP
• Kedisha Patrice Lloyd, APN

• Hematology & Oncology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.