NPIMap

Individual provider Active NPI

Liviu C Crisan, MD

  • Internal Medicine Physician
  • Forked River, NJ
National Provider Identifier
1730146051
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA061561 Issued in NJ
Practice address
651 Lacey Rd
Forked River, NJ 08731
Phone
(609) 242-4322
Fax
(609) 242-4324
NPI assigned
Apr 28, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA061561 NJ Primary

Addresses

Primary practice location

651 Lacey Rd
Forked River, NJ 08731

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
P488102OtherOXFORD
J9788OtherHORIZON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001119 NJ Practitioner - Internal Medicine 0042258337 Reassigns benefits to 2 organizations
Practice locations: Forked River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

731 Lacey Rd
Suite 1
Forked River, NJ 08731-1364
Phone (609) 242-0040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA061561NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Feb 3, 2020 Accepting new patients
Liviu Crisan M.D. P.C. PastSince Jan 1, 1990 Accepting new patients

Locations

731 Lacey Rd
Ste 1
Forked River, NJ 08731
Phone (609) 242-0040

801 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-0040

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: lcrisan45851@epicdirect.rwjbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1730146051",
    "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": "08731",
            "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": "08731",
            "telephone_number": "609-242-4322",
            "fax_number": "609-242-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAN",
        "first_name": "LIVIU",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA061561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P488102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "J9788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.