Individual provider Active NPI

Douglas Scott Livornese, M.D.

  • Pulmonary Disease Physician
  • Eatontown, NJ
National Provider Identifier
1902876915
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA05819200 Issued in NJ
Practice address
30 Corbett Way
Eatontown, NJ 07724-2263
Phone
(732) 380-0020
Fax
(732) 380-1990
NPI assigned
Jan 23, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05819200 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA05819200 NJ
Pulmonary Disease Physician 207RP1001X 25MA05819200 NJ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MA05819200 NJ

Addresses

Primary practice location

30 Corbett Way
Eatontown, NJ 07724-2263

Mailing address

30 Corbett Way
Eatontown, NJ 07724-2263
Phone (732) 380-0020

Other identifiers 1

IdentifierTypeStateIssuer
7404409MedicaidNJ

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
I20090310000238 NJ Practitioner - Pulmonary Disease 6103899794 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SD MiddletownGroup PAC ID 6103187695, 5 clinicians
Sleep DynamicsGroup PAC ID 6507164175, 6 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

1000 Rte
35 Suite 102
Middletown, NJ 07748-2609
Phone (732) 361-6855

2240 State Route 33
Suite 114
Neptune, NJ 07753-6121
Phone (732) 455-3030

30 Corbett Way
Eatontown, NJ 07724-2263
Phone (732) 380-0020

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.31

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05819200NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Therapy Center LLC Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group, PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince Nov 29, 2023 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Oct 2, 2021 Accepting new patients

Locations

145 Wyckoff Rd
Ste 301
Eatontown, NJ 07724
Phone (732) 222-0180

30 Corbett Way
Eatontown, NJ 07724
Phone (732) 380-0020

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

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

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

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

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

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

Interoperability endpoints

  • Direct secure messaging: dlivornese17331@epicdirect.rwjbh.org

Organizations & group practices 7

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 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1902876915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242263",
            "telephone_number": "732-380-0020",
            "fax_number": "732-380-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242263",
            "telephone_number": "732-380-0020",
            "fax_number": "732-380-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVORNESE",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05819200",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA05819200",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA05819200",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MA05819200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7404409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.