Organization Active NPI

Lawrence I. Livingston, M.D., P.a.

  • Specialist
  • Montvale, NJ
National Provider Identifier
1518904432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03702700 Issued in NJ
Legal business name
LAWRENCE I. LIVINGSTON, M.D., P.A.
Practice address
21 Philips Pkwy
Montvale, NJ 07645-1810
Phone
(201) 573-1202
Fax
(201) 573-8486
NPI assigned
May 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Ira Livingston, M.D.NPI 1003853102
Title
President
Phone
(201) 573-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03702700 NJ Primary

Addresses

Primary practice location

21 Philips Pkwy
Montvale, NJ 07645-1810

Mailing address

21 Philips Pkwy
Montvale, NJ 07645-1810
Phone (201) 573-1202

National Provider Directory

National Provider Directory

Locations

21 Philips Pkwy
Montvale, NJ 07645
Phone (201) 573-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518904432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451810",
            "telephone_number": "201-573-1202",
            "fax_number": "201-573-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PHILIPS PKWY",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451810",
            "telephone_number": "201-573-1202",
            "fax_number": "201-573-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE I. LIVINGSTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-573-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03702700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.