Organization Active NPI

Liviu Crisan M.D. P.C.

  • Primary Care Clinic/Center
  • Forked River, NJ
National Provider Identifier
1477727113
Registry record updated Jun 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA06156100 Issued in NJ
Legal business name
LIVIU CRISAN M.D. P.C.
Practice address
651 Lacey Rd
Forked River, NJ 08731-1403
Phone
(609) 242-4322
Fax
(609) 242-4324
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2008

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

Authorized official

Name
Dr. Liviu Corneliu Crisan, MDNPI 1730146051
Title
President
Phone
(609) 242-4322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA06156100 NJ Primary

Addresses

Primary practice location

651 Lacey Rd
Forked River, NJ 08731-1403

Mailing address

651 Lacey Rd
Forked River, NJ 08731-1403
Phone (609) 242-4322

National Provider Directory

National Provider Directory

Locations

651 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-4322

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214092800000",
    "number": "1477727113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311403",
            "telephone_number": "609-242-4322",
            "fax_number": "609-242-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311403",
            "telephone_number": "609-242-4322",
            "fax_number": "609-242-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVIU CRISAN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-06-22",
        "status": "A",
        "authorized_official_last_name": "CRISAN",
        "authorized_official_first_name": "LIVIU",
        "authorized_official_middle_name": "CORNELIU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-242-4322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06156100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.