Organization Active NPI

Hackensack Eye Surgery Center

  • Ophthalmic Technician/Technologist
  • Hackensack, NJ
National Provider Identifier
1518130293
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
25MA03541600 Issued in NJ
Legal business name
HACKENSACK EYE SURGERY CENTER
Practice address
391 Summit Ave
Hackensack, NJ 07601-1414
Phone
(201) 342-5191
Fax
(201) 487-0026
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Dr. Paul A Liva, M.D.
Title
Ophthalmology Doctor
Phone
(201) 342-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1100X 25MA03541600 NJ Primary

Addresses

Primary practice location

391 Summit Ave
Hackensack, NJ 07601-1414

Mailing address

391 Summit Ave
Hackensack, NJ 07601-1414
Phone (201) 342-5191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1518130293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011414",
            "telephone_number": "201-342-5191",
            "fax_number": "201-487-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011414",
            "telephone_number": "201-342-5191",
            "fax_number": "201-487-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "LIVA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPHTHALMOLOGY DOCTOR",
        "authorized_official_telephone_number": "201-342-5191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NJ",
            "license": "25MA03541600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.