Individual provider Active NPI

Tatyana Liptsyn, M.D.

  • Pediatrics Physician
  • Livingston, NJ
National Provider Identifier
1891728366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06424600 Issued in NJ
Practice address
23 Royal Ave
Livingston, NJ 07039-3121
Phone
(973) 994-1359
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06424600 NJ Primary

Addresses

Primary practice location

23 Royal Ave
Livingston, NJ 07039-3121

Mailing address

23 Royal Ave
Livingston, NJ 07039-3121
Phone (973) 994-1359

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060313000463 NJ Practitioner - Pediatric Medicine 5294742458 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06424600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Pediatrics CurrentSince Oct 28, 2023 Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
Saint Barnabas Multi Specialty Pediatrics Past Accepting new patients
Saint Barnabas Palliative Care Physicians PA Past Accepting new patients

Locations

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

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

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

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

Interoperability endpoints

  • Direct secure messaging: tliptsyn237817@epicdirect.rwjbh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891728366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROYAL AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393121",
            "telephone_number": "973-994-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ROYAL AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393121",
            "telephone_number": "973-994-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTSYN",
        "first_name": "TATYANA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06424600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.