Bradford C Liva, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

38479 Issued in NJ

Practice address

119 Prospect St Ste 1
Ridgewood, NJ 07450-4451

Phone

(201) 444-1185

Fax

(201) 444-1403

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Ophthalmology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of NJ PCGroup PAC ID 2365830668, 46 clinicians

Retina Consultants, PA, IIGroup PAC ID 8729033816, 6 clinicians

Associated Eye Physicians and Surgeons of NJ PAGroup PAC ID 5294624953, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.64 of 100Reported as group

Quality

84.8

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradford.liva.1@22072.direct.athenahealth.com
• Direct secure messaging: bliva@refocus.intellechartdirect.net

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.

• Associated Eye Physicians & Surgeons of N.J., P.a.

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1912094079

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Refocus Eye Health of NJ, P.C.

  • Ophthalmology Physician
  • Camden, NJ
  • NPI 1093316549

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Retina Consultants, PA, II

  • Ophthalmology Physician
  • Ridgewood, NJ
  • NPI 1215906169

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Refocus Eye Health of NJ, P.C.

  • Eyewear Supplier
  • Oakland, NJ
  • NPI 1912867052
  NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936

  Single Specialty

  NPD
• The Eye Care Center of New Jersey,PA

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1336184910

  Single Specialty

  NPD (past)
• The Eye Clinic NJ

  • Ophthalmology Physician
  • Union, NJ
  • NPI 1467539791

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1669477485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROSPECT ST STE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504451",
            "telephone_number": "201-444-1185",
            "fax_number": "201-444-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PROSPECT ST STE 1",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504451",
            "telephone_number": "201-444-1185",
            "fax_number": "201-444-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVA",
        "first_name": "BRADFORD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA38479",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "38479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Lipkin
• Amanda Abrahamson Littlehale, LSW
• Yonathan Litwok
• Michelle Liu, M.D.
• Liva Eye Center LLC
• LN Passarelli DDS
• Michael Joseph Lombino, MD
• Jessie C Long, M.D.
• Marianne Marie Longo
• Charles T. Loo, D.M.D., M.S.D.

• Retina Specialist (Ophthalmology) Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Retina Specialist (Ophthalmology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.