Active NPI
Jeffrey Scott Liva, MD, MPH, MS
- Occupational Medicine Physician
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- MA49009
- Practice address
- 1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359 - Phone
- (201) 444-3060
- Fax
- (201) 444-3933
- NPI assigned
- Apr 21, 2006
- Last updated
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | MA49009 | NJ | Primary |
| Occupational Medicine Physician | 2083X0100X | 205179-1 | NY | |
| Occupational Medicine Physician | 2083X0100X | 069231 | MI |
Addresses
Primary practice location
1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359
Mailing address
1 W Ridgewood Ave
Suite G-1
Paramus, NJ 07652-2359
Phone (201) 444-3060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133803BS8 | Other | NPI | |
| 2K0321 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 W Ridgewood Ave
Suite G 4
Paramus, NJ 07652-2356
Phone (201) 444-3060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069231 | MI | MD | Occupational Medicine Physician |
| MA49009 | NJ | MD | Occupational Medicine Physician |
| 205179-1 | NY | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventiveplus | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Family Physician, LLC | Past | Accepting new patients |
Locations
1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060
1 W Ridgewood Ave
Ste G1
Paramus, NJ 07652
Phone (201) 444-3060
1 W Ridgewood Ave
Ste G4
Paramus, NJ 07652
Phone (201) 444-3060
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Paramus, NJ
- NPI 1659426500
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Ambulatory Surgical Clinic/Center
- Paramus, NJ
- NPI 1528390499
-
- Family Medicine Physician
- Paramus, NJ
- NPI 1205886777
-
- Family Medicine Physician
- Ridgewood, NJ
- NPI 1912956905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1912963885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE",
"address_2": "SUITE G-1",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522359",
"telephone_number": "201-444-3060",
"fax_number": "201-444-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE",
"address_2": "SUITE G-1",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522359",
"telephone_number": "201-444-3060",
"fax_number": "201-444-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVA",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "MD, MPH, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NJ",
"license": "MA49009",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NY",
"license": "205179-1",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "069231",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "133803BS8",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2K0321",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.